Organization
GUSFA DENTAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GUSFA DDS (PRESIDENT)
(313) 565-5350
Entity
Organization
Contact information
Practice address
22731 NEWMAN ST STE 210, DEARBORN, MI 48124-2023
(313) 565-5350
(313) 565-5561
Mailing address
22731 NEWMAN ST STE 210, DEARBORN, MI 48124-2023
(313) 565-5350
(313) 565-5561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053318634
NPI
—
Enumeration date
04/12/2022
Last updated
03/20/2025
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