| NPI | 1861248973 |
|---|---|
| Doing Business As | ALLEN DENTAL LOUNGE |
| Entity Type | Organization |
| Authorized Contact | FADI WHITE President 586-447-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |