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Organization
SHELBY PINES COSMETIC AND FAMILY DENTISTRY
Active
Organization
SHELBY PINES COSMETIC AND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOSEPH GADIOLI DDS (PRESIDENT)
(586) 739-1717
Entity
Organization
Contact information
Practice address
52871 MOUND RD, SHELBY TOWNSHIP, MI 48316-3264
(586) 739-1717
(586) 739-3362
Mailing address
52871 MOUND RD, SHELBY TOWNSHIP, MI 48316-3264
(586) 739-1717
(586) 739-3362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901016765
MI
1223G0001X
General Practice Dentistry
Primary
2901017931
MI
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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