Organization
LISA M. MOTYL, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE MOTYL DDS (OWNER)
(248) 540-3494
Entity
Organization
Contact information
Practice address
999 HAYNES ST, SUITE 285, BIRMINGHAM, MI 48009-6712
(248) 540-3494
Mailing address
999 HAYNES ST, SUITE 285, BIRMINGHAM, MI 48009-6712
(248) 540-3494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020555
MI
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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