# GARY J. MOSIO D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** solo practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528796588
- **Authorized official:** GARY J. MOSIO D.D.S. (DENTIST)
- **Authorized official phone:** (313) 881-9400

## Contact information

- **Practice address:** 17220 MACK AVE, GROSSE POINTE, MI 48230-6254
- **Practice address phone:** (313) 881-9400
- **Practice address fax:** (313) 881-2736
- **Mailing address:** 17220 MACK AVE, GROSSE POINTE, MI 48230-6254
- **Mailing address phone:** (313) 881-9400
- **Mailing address fax:** (313) 881-2736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2022
- **Last updated:** 08/09/2022