| NPI | 1760806475 |
|---|---|
| Doing Business As | LIVONIA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL S FOX Managing Member 734-425-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 16589) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |