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Livingston Dental Sleep Therapy Pllc

NPI #1629414255 in Brighton, Michigan

Provider Information

NPI Number
1629414255
Entity Type
Organization
Organization Name
Livingston Dental Sleep Therapy Pllc
Primary Specialty
Dentist
Enumeration Date
May 22, 2013
Last Updated
May 22, 2013

Practice Location

Address
8641 W GRAND RIVER AVE
Address 2
SUITE 6
City
Brighton
State
Michigan
ZIP Code
48116-4353
Phone
(810) 227-4224

Authorized Official

Name
DR. BRIAN J PETERSBURG, DDS
Title
OWNER/DENTIST
Phone
(810) 227-4224

Specialties & Taxonomy Codes

Specialty
Dentist
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment

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