| NPI | 1346963006 |
|---|---|
| Former Legal Business Name | COE DENTISTRY |
| Doing Business As | KENTWOOD PREMIER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ADAM PIOTROWSKI Member 989-225-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-04-05 |