Individual
MITCHELL SOLOMON SABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11270 E 13 MILE RD STE 1A, WARREN, MI 48093-2599
(586) 573-7700
Mailing address
6498 LAKESHORE ST, WEST BLOOMFIELD, MI 48323-1428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901600200
STATE DENTAL LICENSE
MI
01
—
S140603772356
STATE DRIVER LICENSE
MI
Enumeration date
07/01/2019
Last updated
12/10/2024
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