Individual
DR. DIANE MARIE PITAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 E LAKE ST, SOUTH LYON, MI 48178-1409
(248) 437-2008
(240) 437-8750
Mailing address
110 E LAKE ST, SOUTH LYON, MI 48178-1409
(248) 437-2008
(240) 437-8750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014861
MI
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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