Organization
DECAROLIS DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LONGAS (OFFICE MANAGER)
(248) 645-3700
Entity
Organization
Contact information
Practice address
24255 W 13 MILE RD, SUITE 150, BINGHAM FARMS, MI 48025-4320
(248) 645-3700
(248) 647-0600
Mailing address
24255 W 13 MILE RD, SUITE 150, BINGHAM FARMS, MI 48025-4320
(248) 645-3700
(248) 647-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901011431
MI
Other
Enumeration date
07/29/2006
Last updated
08/22/2020
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