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Organization
SEVA DENTAL MICHIGAN PC
Active
Organization
SEVA DENTAL MICHIGAN PC
Active
Other names
Livonia Dental Team
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROLNICKI (DIRECTOR OF REVENUE CYCLE)
(708) 372-4773
Entity
Organization
Contact information
Practice address
15875 MIDDLEBELT RD STE 100, LIVONIA, MI 48154-3885
(734) 427-9871
Mailing address
2692 RUMINANT RD, PARK CITY, UT 84060-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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