Gateway Dental Care, Plc

NPI #1265984041 in South Lyon, Michigan

Provider Information

NPI Number: 1265984041
Entity Type: Organization
Organization Name: Gateway Dental Care, Plc
Subpart: Yes (part of a larger organization)
Parent Organization: GATEWAY DENTAL CARE I, PLC
Primary Specialty: Dentist
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 51611 TEN MILE RD
City: South Lyon
State: Michigan
ZIP Code: 48178-9720
Phone: (248) 278-0031

Authorized Official

Name: DR. MICHELLE CONFORTI, DDS
Title: OWNER
Phone: (248) 446-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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