| NPI | 1710449459 |
|---|---|
| Doing Business As | VILLAGE PLACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARYN MALLON Office Manager 586-264-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |