| Revive Dental Livonia | |
|
31544 Schoolcraft Rd Livonia MI 48150-1805 | |
| (248) 943-0907 | |
| Not Available |
| Full Name | Revive Dental Livonia |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31544 Schoolcraft Rd, Livonia, Michigan |
| Authorized Official Name and Position | Vincent Dawisha (PARTNER) |
| Authorized Official Contact | 2484443847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Dental Livonia 31544 Schoolcraft Rd Livonia MI 48150-1805 Ph: () - | Revive Dental Livonia 31544 Schoolcraft Rd Livonia MI 48150-1805 Ph: (248) 943-0907 |
| NPI Number | 1679464507 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679464507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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