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Organization

FREDERIC N. SMITH,D.D.S, M.S. & JOHN F. SIVERTSON, D.D.S, M.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN F. SIVERTSON D.D.S. (PRESIDENT)
(734) 522-7313
Entity
Organization

Contact information

Practice address
31636 SCHOOLCRAFT RD, LIVONIA, MI 48150-1819
(734) 522-7313
(734) 522-3203
Mailing address
31636 SCHOOLCRAFT RD, LIVONIA, MI 48150-1819
(734) 522-7313
(734) 522-3203

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901010031
MI

Other

Enumeration date
05/08/2007
Last updated
08/22/2020
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