Organization
DRJ OF LIVERNOIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MORGAN JR. (ADMINISTRATIVE DIRECTOR)
(313) 582-8150
Entity
Organization
Contact information
Practice address
15510 LIVERNOIS AVE, DETROIT, MI 48238-1343
(313) 582-8150
(313) 582-0745
Mailing address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 582-8150
(313) 582-0745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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