| NPI | 1982917522 |
|---|---|
| Doing Business As | PARKWAY CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BANNOUT Dentist 248-890-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013382) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2010-07-25 |