Organization
DEARBORN FAMILY SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY S ACOSTA (PRACTICE DEVELOPMENT MANAGER)
(734) 525-6100
Entity
Organization
Contact information
Practice address
5005 SCHAEFER RD, DEARBORN, MI 48126-3252
(313) 914-2595
Mailing address
16979 FARMINGTON RD, LIVONIA, MI 48154-2946
(734) 525-6100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
01/12/2024
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