NPI | 1841830999 |
---|---|
Doing Business As | ENGSTROM FAMILY DENTAL, PLLC |
Entity Type | Organization |
Authorized Contact | DENNIS A ENGSTROM LLC Member 517-881-4069 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-07 |
Last Update Date | 2020-01-07 |