| NPI | 1598470635 |
|---|---|
| Doing Business As | TRIANGLE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AMENA HOLLEY Credentialing Specialist 248-550-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-25 |