| NPI | 1730827684 |
|---|---|
| Former Legal Business Name | KENTWOOD DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | HALIE NGUYEN Office Manager 586-883-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |