| NPI | 1427527779 |
|---|---|
| Doing Business As | MARINER DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERIC GROENEVELD Member 248-225-4392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2021-12-30 |