NPI | 1417690009 |
---|---|
Doing Business As | CANTON PLYMOUTH FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | HETAL PATEL Member 734-981-8040 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-04-20 |