Individual
NICOLE DEBELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16160 MIDDLEBELT RD, LIVONIA, MI 48154-3338
(734) 261-9696
Mailing address
23410 ALLIUM AVE, MACOMB, MI 48042-5832
(586) 747-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601500
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2022
Last updated
11/15/2023
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