| NPI | 1588242127 |
|---|---|
| Doing Business As | BOTHELL FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHELLE JACLYN AMENT Owner, Dentist 248-860-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |