| NPI | 1912414046 |
|---|---|
| Doing Business As | HILLSTREAM DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT GLEN HUBBARD Dentist 248-853-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901020209) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901012903) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |