Liberty Corners Dental Pllc

NPI #1699938589 in Temperance, Michigan

Provider Information

NPI Number: 1699938589
Entity Type: Organization
Organization Name: Liberty Corners Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 9, 2008
Last Updated: Jul 9, 2008

Practice Location

Address: 7298 JACKMAN RD
City: Temperance
State: Michigan
ZIP Code: 48182-1313
Phone: (734) 847-6350

Authorized Official

Name: LARRY MIZELLE
Title: DENTIST
Phone: (734) 847-6350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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