Organization
DR. SIV'S DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WHITE (OFFICE MANAGER)
(313) 882-7961
Entity
Organization
Contact information
Practice address
21219 MACK AVE, GROSSE POINTE WOODS, MI 48236-1045
(313) 882-7961
(313) 882-8630
Mailing address
21219 MACK AVE, GROSSE POINTE WOODS, MI 48236-1045
(313) 882-7961
(313) 882-8630
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/02/2024
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