Organization
ATSALIS DENTAL EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE N ATSALIS DDS (OWNER/PRESIDENT)
(734) 453-1190
Entity
Organization
Contact information
Practice address
690 SOUTH MAIN ST, PLYMOUTH, MI 48170
(734) 453-1190
(734) 453-1190
Mailing address
690 SOUTH MAIN ST, PLYMOUTH, MI 48170
(734) 453-1190
(734) 453-4513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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