Organization
AESTHETIC DENTISTRY BY DIPILLA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER KELLY AUSILIO (LICENSING AND CREDENTIALING ADMINIS)
(586) 615-6865
Entity
Organization
Contact information
Practice address
600 NORTH OLD WOODWARD, STE 201, BIRMINGHAM, MI 48009
(248) 646-0442
(248) 266-9319
Mailing address
600 NORTH OLD WOODWARD, STE 201, BIRMINGHAM, MI 48009
(248) 646-0442
(248) 266-9319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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