NPI | 1669209938 |
---|---|
Doing Business As | DESTINY DENTAL OF DEARBORN |
Entity Type | Organization |
Authorized Contact | SIMONE WILSON-ADELEKE Director Of Credentialing 732-731-8398 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-09-19 |
Last Update Date | 2024-09-19 |