Individual
DR. ANDRZEJ LUCJAN DOLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
26370 GRAND RIVER AVE, REDFORD, MI 48240-1463
(313) 534-3313
Mailing address
1533 BROADWAY ST, ANN ARBOR, MI 48105-1876
(734) 678-4143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70891190
—
MI
Enumeration date
08/03/2006
Last updated
04/05/2017
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