| NPI | 1528836632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY HWANG Dentist 734-707-7349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-02-09 |