Organization
SOUTH LYON ORTHODONTICS, PC
Active
Organization
SOUTH LYON ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE E GERAN DDS, MS (DOCTOR)
(248) 437-1620
Entity
Organization
Contact information
Practice address
22900 PONTIAC TRAIL, SOUTH LYON, MI 48178
(248) 437-1620
(248) 437-2242
Mailing address
22900 PONTIAC TRAIL, SOUTH LYON, MI 48178
(248) 437-1620
(248) 437-2242
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MI
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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