| NPI | 1518342641 |
|---|---|
| Doing Business As | NORTHVILLE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW JASON TALCOTT Owner 248-349-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 17081) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |