Organization
SEVA DENTAL MICHIGAN PC
Active
Other names
Livonia Dental Team
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROLNICKI (DIRECTOR OF REVENUE CYCLE)
(708) 372-4773
Entity
Organization
Contact information
Practice address
15875 MIDDLEBELT RD STE 100, LIVONIA, MI 48154-3885
(734) 427-9871
Mailing address
2692 RUMINANT RD, PARK CITY, UT 84060-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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