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Organization

VMLP LIV PLC

Active
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Organization

VMLP LIV PLC

Active
Other names
Aspen Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JASON BERTOLLINI (PRM)
(866) 273-8204
Entity
Organization

Contact information

Practice address
13417 MIDDLEBELT RD, LIVONIA, MI 48150-2229
(734) 245-0037
(734) 522-0037
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(315) 410-5531

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20509
MI

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
About Stedi
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