NPI | 1558629238 |
---|---|
Doing Business As | JOSLYN SMILE CENTER |
Entity Type | Organization |
Authorized Contact | LLOYD KERNEN CFO Interim CEO 248-724-7411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2016-06-01 |