| NPI | 1558975672 |
|---|---|
| Doing Business As | MAIZE AND BLUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN DUNCAN MCLAREN President 734-645-6548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |