| NPI | 1881798254 |
|---|---|
| Doing Business As | PARKSIDE DENTAL TEAM |
| Entity Type | Organization |
| Authorized Contact | STEVEN M COHEN President 734-261-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-09-13 |