Organization
DIPILLA DENTISTRY OF ST CLAIRE SHORES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIER AUSILIO (INSURANCE COORDINATOR)
(586) 615-6865
Entity
Organization
Contact information
Practice address
25625 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2310
(586) 775-3960
Mailing address
25625 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-2310
(586) 775-3960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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