| NPI | 1497471148 |
|---|---|
| Former Legal Business Name | DANIEL SHERIDAN DDS |
| Entity Type | Organization |
| Authorized Contact | YVONNE DE LA CRUZ Office Manager 989-792-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |