NPI | 1568945905 |
---|---|
Doing Business As | THE TOOTHBOOTH |
Entity Type | Organization |
Authorized Contact | JOEL BOOTH Dentist 586-879-9193 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-09-12 |
Last Update Date | 2018-09-12 |