| NPI | 1407462187 |
|---|---|
| Doing Business As | HOMETOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAURA BURKEEN Mananger 734-657-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |