Organization
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Active
Parent organization
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Other names
Great Lakes Family Dental, Livonia
Organization subpart
Yes
Provider details
NPI number
Legal business name
42 NORTH DENTAL CARE OF MICHIGAN, PLLC
Authorized official
MICHAEL ANGELO SCIALABBA (CHIEF CLINICAL OFFICER)
(561) 512-2709
Entity
Organization
Contact information
Practice address
16160 MIDDLEBELT RD, LIVONIA, MI 48154-3338
(734) 261-9696
Mailing address
16160 MIDDLEBELT RD, LIVONIA, MI 48154-3338
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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