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Individual

JOHN MICHAEL COLASANTI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
15737 FARMINGTON RD, LIVONIA, MI 48154-2857
(734) 425-0909
(734) 425-9190
Mailing address
15737 FARMINGTON RD, LIVONIA, MI 48154-2857
(734) 425-0909
(734) 425-9190

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014513
MI

Other

Enumeration date
03/20/2006
Last updated
07/08/2007
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