Organization
ADVANCED DENTAL CONCEPTS P.C.
Active
Other names
Advanced Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN IAQUINTA DDS (VICE PRESIDENT)
(248) 348-8808
Entity
Organization
Contact information
Practice address
42450 W 12 MILE RD, SUITE 200, NOVI, MI 48377-3013
(248) 348-8808
(248) 348-2133
Mailing address
42450 W 12 MILE RD, SUITE 200, NOVI, MI 48377-3013
(248) 348-8808
(248) 348-2133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013856
MI
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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