Individual
DR. FRED M BISARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1680 KINGSWAY CT, TRENTON, MI 48183-1957
(734) 675-2510
(734) 675-7130
Mailing address
1680 KINGSWAY CT, TRENTON, MI 48183-1957
(734) 675-2510
(734) 675-7130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012455
MI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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