| Creative Dentistry Of Livonia Pllc | |
|
31215 5 Mile Rd Livonia MI 48154-3627 | |
| (248) 872-2213 | |
| Not Available |
| Full Name | Creative Dentistry Of Livonia Pllc |
|---|---|
| Speciality | Dentist |
| Location | 31215 5 Mile Rd, Livonia, Michigan |
| Authorized Official Name and Position | Viraj Shah (OWNER) |
| Authorized Official Contact | 2488722213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dentistry Of Livonia Pllc 1153 Pembroke Dr Rochester Hills MI 48307-5756 Ph: () - | Creative Dentistry Of Livonia Pllc 31215 5 Mile Rd Livonia MI 48154-3627 Ph: (248) 872-2213 |
| NPI Number | 1376126185 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376126185 | NPI | - | NPPES |
| 1194770628 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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