Organization

Detroit Livernois P.C.

Dentist in Detroit, MI(View on Map)

Legal Business Name

Detroit Livernois P.C.

NPI Number

1790982270

NPI Type

Organization

Enumeration Date

06/28/2007

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

15510 LIVERNOIS AVE
15510 LIVERNOIS AVE

City

Detroit
Detroit

State

MI
MI

Postal Code

48238-1343
48238-1343

Country

US
US

Telephone Number

N/A
(313) 863-2800

Authorized Official

Name

Mike Cole

Title or Position

INSURANCE DIRECTOR

Telephone Number

(727) 726-1611

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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