Individual
MR. STEPHEN M GHEZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
26018 PONTIAC TRL, SOUTH LYON, MI 48178-8050
(248) 486-4030
(855) 778-2780
Mailing address
26018 PONTIAC TRL, SOUTH LYON, MI 48178-8050
(248) 486-4030
(855) 778-2780
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901017960
MI
Other
Enumeration date
08/30/2005
Last updated
10/02/2014
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