| NPI | 1356053334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA PHAN Board Certified Pediatric Dentist 517-974-0418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |