| NPI | 1689356321 |
|---|---|
| Doing Business As | THE DENTAL DEPOT |
| Entity Type | Organization |
| Authorized Contact | WARREN BLACK Owner/Dentist 313-505-0065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |