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Individual

JOSEPH SCRIVANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5139 W SAGINAW HWY, LANSING, MI 48917-2635
(517) 318-2657
Mailing address
14029 GOLDEN ARROW CT, SHELBY TWP, MI 48315-2014
(586) 854-8739

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600555
MI

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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