Organization
NEW YOU WONDERLAND MANAGEMENT- LIVONIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE PAISOPOULOS (PRESIDENT)
(248) 595-0161
Entity
Organization
Contact information
Practice address
29475 PLYMOUTH RD, LIVONIA, MI 48150-2112
(734) 237-5755
(734) 237-5756
Mailing address
23225 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-7707
(248) 595-0161
(248) 799-7575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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