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Organization
AESTHETIC DENTISTRY BY DIPILLA, P.C.
Active
Organization
AESTHETIC DENTISTRY BY DIPILLA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER KELLY AUSILIO (LICENSING AND CREDENTIALING ADMINIS)
(586) 615-6865
Entity
Organization
Contact information
Practice address
600 NORTH OLD WOODWARD, STE 201, BIRMINGHAM, MI 48009
(248) 646-0442
(248) 266-9319
Mailing address
600 NORTH OLD WOODWARD, STE 201, BIRMINGHAM, MI 48009
(248) 646-0442
(248) 266-9319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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