# NEW YOU WONDERLAND MANAGEMENT- LIVONIA

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

## Provider details

- **NPI number:** 1215297676
- **Authorized official:** JANE PAISOPOULOS (PRESIDENT)
- **Authorized official phone:** (248) 595-0161

## Contact information

- **Practice address:** 29475 PLYMOUTH RD, LIVONIA, MI 48150-2112
- **Practice address phone:** (734) 237-5755
- **Practice address fax:** (734) 237-5756
- **Mailing address:** 23225 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-7707
- **Mailing address phone:** (248) 595-0161
- **Mailing address fax:** (248) 799-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2012
- **Last updated:** 05/20/2012