Organization
TOOTH TOWN PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GHEZZI DDS (OWNER)
(248) 486-4030
Entity
Organization
Contact information
Practice address
26018 PONTIAC TRL, SOUTH LYON, MI 48178-8050
(248) 486-4030
(855) 778-2780
Mailing address
26018 PONTIAC TRL, SOUTH LYON, MI 48178-8050
(248) 486-4030
(855) 778-2780
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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