Organization
PAUL L SIMON DDS PLC
Active
Other names
South Lyon Dental Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL L SIMON DDS (DENTIST MEMBER)
(248) 437-8300
Entity
Organization
Contact information
Practice address
21800 PONTIAC TRAIL, STE 100, SOUTH LYON, MI 48178
(248) 437-8300
(248) 437-8066
Mailing address
21800 PONTIAC TRAIL, STE 100, SOUTH LYON, MI 48178
(248) 437-8300
(248) 437-8066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013028
MI
Other
Enumeration date
03/01/2007
Last updated
09/19/2007
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