Tooth Town Pediatric Dentistry, Pllc
NPI #1295395739 in South Lyon, Michigan
Provider Information
- NPI Number
- 1295395739
- Entity Type
- Organization
- Organization Name
- Tooth Town Pediatric Dentistry, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 17, 2019
- Last Updated
- Jun 17, 2019
Practice Location
- Address
- 26018 PONTIAC TRL
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-8050
- Phone
- (248) 486-4030
Authorized Official
- Name
- STEPHEN GHEZZI, DDS
- Title
- OWNER
- Phone
- (248) 486-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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