Organization
GATEWAY DENTAL CARE, PLC
Active
Parent organization
GATEWAY DENTAL CARE I, PLC
Other names
Gateway Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATEWAY DENTAL CARE I, PLC
Authorized official
DR. MICHELLE CONFORTI DDS (OWNER)
(248) 446-2700
Entity
Organization
Contact information
Practice address
51611 TEN MILE RD, SOUTH LYON, MI 48178-9720
(248) 278-0031
Mailing address
25660 PONTIAC TRL, SOUTH LYON, MI 48178-8046
(248) 446-2700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017587
MI
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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