DR. Diane Marie Pitak, DDS

NPI #1134292048 in South Lyon, Michigan

Provider Information

NPI Number: 1134292048
Entity Type: Individual
Name: DR. Diane Marie Pitak, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 110 E LAKE ST
City: South Lyon
State: Michigan
ZIP Code: 48178-1409
Phone: (248) 437-2008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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