Lifelong Family Dentistry Pllc
NPI #1205144417 in Grosse Ile, Michigan
Provider Information
- NPI Number
- 1205144417
- Entity Type
- Organization
- Organization Name
- Lifelong Family Dentistry Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 22, 2010
- Last Updated
- Sep 22, 2010
Practice Location
- Address
- 8930 MACOMB ST
- City
- Grosse Ile
- State
- Michigan
- ZIP Code
- 48138-1577
- Phone
- (734) 676-2288
Authorized Official
- Name
- DR. BRIAN M. LONG, D.D.S.
- Title
- OWNER
- Phone
- (734) 616-2288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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