Organization
BRIAN LYNGAAS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE M OBRIEN (PRACTICE MANAGER)
(131) 377-2539
Entity
Organization
Contact information
Practice address
18518 FARMINGTON RD, LIVONIA, MI 48152-3232
(248) 473-0050
(248) 473-7490
Mailing address
18518 FARMINGTON RD, LIVONIA, MI 48152-3232
(248) 473-0050
(248) 473-7490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275545626
—
MI
Enumeration date
10/28/2020
Last updated
05/20/2024
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