# APPLE DENTURE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124265483
- **Authorized official:** MR. CLIFFORD GORDON CDT (PRESIDENT)
- **Authorized official phone:** (248) 777-7547

## Contact information

- **Practice address:** 28200 7 MILE RD, STE.\# 126, LIVONIA, MI 48152-3794
- **Practice address phone:** (248) 777-7547
- **Practice address fax:** (313) 532-3505
- **Mailing address:** 28200 7 MILE RD, STE.\# 126, LIVONIA, MI 48152-3794
- **Mailing address phone:** (248) 777-7547
- **Mailing address fax:** (313) 532-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6803 | MI | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 01/08/2009