| NPI | 1801919287 |
|---|---|
| Other Name | JANE E BANCUK, DDS |
| Entity Type | Organization |
| Authorized Contact | JANE E BANCUK Managing Member 734-844-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901013245) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2015-02-09 |