Individual
DR. MINDY SUE SALZBERG-SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, PC
Contact information
Practice address
38550 GARFIELD RD, SUITE C., CLINTON TWP, MI 48038-3406
(586) 416-1444
Mailing address
765 S GLENHURST DR, BIRMINGHAM, MI 48009-2934
(248) 644-7959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778716
UNITED CONCORDIA PROVIDER
MI
Enumeration date
01/24/2007
Last updated
07/08/2007
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