Organization
PAUL M POLYVIOU DDS, P.C.
Active
Other names
Polyviou Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MICHAEL POLYVIOU D.D.S. (PRESIDENT)
(313) 388-2400
Entity
Organization
Contact information
Practice address
3784 DIX HWY, LINCOLN PARK, MI 48146
(313) 388-2400
(313) 386-9550
Mailing address
3784 DIX HWY, LINCOLN PARK, MI 48146
(313) 388-2400
(313) 386-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16757
MI
Other
Enumeration date
03/22/2007
Last updated
07/14/2008
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