| NPI | 1629309133 |
|---|---|
| Doing Business As | DESTINATION SMILE |
| Entity Type | Organization |
| Authorized Contact | FLAVIA D TINGLING Owner 734-358-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |