# BRIAN J. POLIDORI DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Polidori Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861662264
- **Authorized official:** DR. BRIAN J POLIDORI DDS (OWNER)
- **Authorized official phone:** (313) 274-4422

## Contact information

- **Practice address:** 22701 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2574
- **Practice address phone:** (313) 274-4422
- **Practice address fax:** (313) 274-7092
- **Mailing address:** 22701 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2574
- **Mailing address phone:** (313) 274-4422
- **Mailing address fax:** (313) 274-7092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901016047 | MI | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008