| Polyviou Dental | |
|
3784 Dix Hwy Lincoln Park MI 48146 | |
| (313) 388-2400 | |
| (313) 386-9550 |
| Full Name | Polyviou Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3784 Dix Hwy, Lincoln Park, Michigan |
| Authorized Official Name and Position | Paul Michael Polyviou (PRESIDENT) |
| Authorized Official Contact | 3133882400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polyviou Dental 3784 Dix Hwy Lincoln Park MI 48146 Ph: (313) 388-2400 | Polyviou Dental 3784 Dix Hwy Lincoln Park MI 48146 Ph: (313) 388-2400 |
| NPI Number | 1538285150 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538285150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16757 (Michigan) | Primary |
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