| NPI | 1578138806 |
|---|---|
| Doing Business As | FOREVER YOUNG DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARSHALL Financial Coordinator 586-795-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |