# GREAT EXPRESSIONS DENTAL CENTERS DOUGLAS DZIUBA DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Expression Dental Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427194216
- **Authorized official:** DOUGLAS DZIUBA (OWNER)
- **Authorized official phone:** (248) 203-1100

## Contact information

- **Practice address:** 29777 TELEGRAPH RD STE 3000, SOUTHFIELD, MI 48034-7634
- **Practice address phone:** (248) 203-1100
- **Practice address fax:** (248) 203-1112
- **Mailing address:** 29777 TELEGRAPH RD STE 3000, SOUTHFIELD, MI 48034-7634
- **Mailing address phone:** (248) 203-1100
- **Mailing address fax:** (248) 203-1112

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 02/11/2019