NPI | 1700282241 |
---|---|
Doing Business As | FAMILY DENTISTRY & ASSOC. OF BELLEVILLE P.C. |
Entity Type | Organization |
Authorized Contact | KENNETH LEE WILLIAMS Owner 734-699-1808 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 14786) |
Additional Taxonomies | 122300000X Dentist (Licence: MI 2901021210) |
Enumeration Date | 2014-11-11 |
Last Update Date | 2014-11-11 |