NPI | 1649715442 |
---|---|
Doing Business As | HUNTINGTON WOODS ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DANIEL ARIEL GROSS Dentist 248-607-3256 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 2901021622) |
Enumeration Date | 2017-01-03 |
Last Update Date | 2017-01-03 |