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Individual

MARK SITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
56074 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-5143
(586) 371-0245
Mailing address
56074 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-5143
(586) 371-0245

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600978
MI

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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