Individual
ANITA V DALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8091 COMMERCE RD, COMMERCE TOWNSHIP, MI 48382-3575
(248) 242-6600
Mailing address
29077 MURRAY CRESCENT DR, SOUTHFIELD, MI 48076-1620
(248) 217-2788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600611
MI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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