Creative Dentistry Of Livonia Pllc | |
31215 5 Mile Rd Livonia MI 48154-3627 | |
(248) 872-2213 | |
Not Available |
Full Name | Creative Dentistry Of Livonia Pllc |
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Speciality | Dentist |
Location | 31215 5 Mile Rd, Livonia, Michigan |
Authorized Official Name and Position | Viraj Shah (OWNER) |
Authorized Official Contact | 2488722213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creative Dentistry Of Livonia Pllc 1153 Pembroke Dr Rochester Hills MI 48307-5756 Ph: () - | Creative Dentistry Of Livonia Pllc 31215 5 Mile Rd Livonia MI 48154-3627 Ph: (248) 872-2213 |
NPI Number | 1376126185 |
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Provider Enumeration Date | 04/29/2021 |
Last Update Date | 04/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376126185 | NPI | - | NPPES |
1194770628 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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