Individual
MICHELLE MENGTAO GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
29522 6 MILE RD STE A, LIVONIA, MI 48152-4558
(734) 425-7888
(734) 758-8888
Mailing address
29522 6 MILE RD STE A, LIVONIA, MI 48152-4558
(734) 425-7888
(734) 758-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020128
MI
1223G0001X
General Practice Dentistry
30.023090
OH
Other
Enumeration date
07/28/2009
Last updated
03/28/2022
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