Awesome Dental

NPI #1912400128 in Livonia, Michigan

Provider Information

NPI Number
1912400128
Entity Type
Organization
Organization Name
Awesome Dental
Subpart
Yes (part of a larger organization)
Primary Specialty
Dentist
Enumeration Date
Mar 14, 2018
Last Updated
Mar 14, 2018

Practice Location

Address
36000 FIVE MILE RD
ZIP Code
48154-1918
Phone
(734) 464-3430

Authorized Official

Name
DR. MARK JOHN HALBOTH
Title
DDS
Phone
(734) 464-3430

Specialties & Taxonomy Codes

Specialty
Dentist

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