| NPI | 1366172249 |
|---|---|
| Doing Business As | UNIVERSITY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KELLY CHOMONTOWSKI Office Manager 248-652-9116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |