Individual
ALICE PIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22524 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2042
(586) 800-4769
Mailing address
22524 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2042
(586) 800-4769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602477SCA250BG
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2023
Last updated
08/25/2025
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