| 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 |