Organization
DR. LUBYANSKY DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON LUBYANSKY DDS (OWNER)
(734) 276-4902
Entity
Organization
Contact information
Practice address
44725 GRAND RIVER AVE, NOVI, MI 48375-1024
(248) 476-9121
Mailing address
44725 GRAND RIVER AVE, NOVI, MI 48375-1024
(248) 476-9121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901021210
STATE OF MI LICENSE
MI
Enumeration date
04/19/2019
Last updated
04/19/2019
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