| NPI | 1811663982 |
|---|---|
| Doing Business As | NORTH PINE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA SHAW BRUDI Dentist Owner 248-974-8978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |