Individual
MICHELLE CONFORTI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
25660 PONTIAC TRL, SOUTH LYON, MI 48178-9234
(248) 446-2700
Mailing address
1078 POLO DR, SOUTH LYON, MI 48178-5322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017587
MI
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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