Individual
PATRICK DIONISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
610 S GRAND AVE, LANSING, MI 48933-2407
(517) 648-3663
Mailing address
610 S GRAND AVE, LANSING, MI 48933-2407
(989) 742-4583
(989) 742-2183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600136
MI
Other
Enumeration date
06/06/2019
Last updated
07/30/2021
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