Organization
ELAN DENTAL GROUP LANSING, PLLC
Active
Other names
Elan Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO MAURICIO MOELLER ZEVALLOS DDS, MS (DENTIST)
(734) 662-7874
Entity
Organization
Contact information
Practice address
1500 ABBOTT RD STE 120, EAST LANSING, MI 48823-1956
(517) 351-9540
(517) 351-1645
Mailing address
2509 S STATE ST, ANN ARBOR, MI 48104-6145
(734) 662-7874
(734) 662-1518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
18235
MI
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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