| NPI | 1598527855 |
|---|---|
| Doing Business As | WHITE LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | FADI ABSHARA Owner 586-212-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |