NPI | 1992312680 |
---|---|
Doing Business As | MICHIGAN SMILES FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | RUAA WAELY Doctor Of Dental Surgery 313-626-0476 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-09-26 |
Last Update Date | 2020-09-26 |