Organization
LIVONIA DENTAL CARE
Active
Organization
LIVONIA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD JAY NITZKIN (DDS)
(734) 427-7555
Entity
Organization
Contact information
Practice address
33428 FIVE MILE RD, LIVONIA, MI 48154-2860
(734) 427-7555
(734) 427-1233
Mailing address
33428 FIVE MILE RD, LIVONIA, MI 48154-2860
(734) 427-7555
(734) 427-1233
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
14658
MI
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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