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Individual

DR. GIANFRANCO TIBERIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
18000 VERNIER RD, HARPER WOODS, MI 48225-1046
(313) 521-2070
Mailing address
2550 DERBY RD, BIRMINGHAM, MI 48009-7535
(248) 816-0850

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17767
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4274738
MI
Enumeration date
06/15/2005
Last updated
07/08/2007
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