Organization
REVIVE DENTAL LIVONIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT DAWISHA DDS (PARTNER)
(248) 444-3847
Entity
Organization
Contact information
Practice address
31544 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(248) 943-0907
Mailing address
31544 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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