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Organization

FACIAL BEAUTY DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GORDON PHILLIP SMITH D.D.S. (OWNER)
(248) 669-4141
Entity
Organization

Contact information

Practice address
3255 W MAPLE RD, WIXOM, MI 48393-4585
(248) 669-4141
Mailing address
3255 W MAPLE RD, WIXOM, MI 48393-4585
(248) 669-4141

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013824
MI

Other

Enumeration date
02/24/2015
Last updated
02/24/2015
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