| NPI | 1558139352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ELIZABETH BURKE Pediatric Dentist 810-513-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |