| NPI | 1902284375 |
|---|---|
| Doing Business As | ALLEN PARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PASSERA President/Owner 313-388-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |