| Michael Direzze, DDS, PLLC | |
|
20323 Mack Ave Grosse Pointe Woods MI 48236-1717 | |
| (313) 881-0077 | |
| Not Available |
| Full Name | Michael Direzze, DDS, PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20323 Mack Ave, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Michael Direzze (OWNER) |
| Authorized Official Contact | 8102238189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Direzze, DDS, PLLC 20323 Mack Ave Grosse Pointe Woods MI 48236-1717 Ph: (313) 881-0077 | Michael Direzze, DDS, PLLC 20323 Mack Ave Grosse Pointe Woods MI 48236-1717 Ph: (313) 881-0077 |
| NPI Number | 1598443483 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598443483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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