Organization
GIZA & ASSOCIATES DDS PLLC
Active
Other names
Long Dental DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE LONG DDS (DENTIST)
(313) 549-7374
Entity
Organization
Contact information
Practice address
15101 FORD RD, DEARBORN, MI 48126-4611
(313) 549-7374
(888) 788-6467
Mailing address
15101 FORD RD, DEARBORN, MI 48126-4611
(313) 549-7374
(888) 788-6467
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901019134
MI
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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