Gateway Dental Care | |
51611 Ten Mile Rd South Lyon MI 48178-9720 | |
(248) 278-0031 | |
Not Available |
Full Name | Gateway Dental Care |
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Speciality | Dentist |
Location | 51611 Ten Mile Rd, South Lyon, Michigan |
Authorized Official Name and Position | Michelle Conforti (OWNER) |
Authorized Official Contact | 2484462700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Dental Care 25660 Pontiac Trl South Lyon MI 48178-8046 Ph: (248) 446-2700 | Gateway Dental Care 51611 Ten Mile Rd South Lyon MI 48178-9720 Ph: (248) 278-0031 |
NPI Number | 1265984041 |
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Provider Enumeration Date | 10/27/2016 |
Last Update Date | 10/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265984041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901017587 (Michigan) | Primary |
Michelle R Conforti Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25660 Pontiac Trl, South Lyon, MI 48178 Phone: 248-446-2700 Fax: 248-446-2880 | |
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