Brian J. Polidori DDS PC
Dentist, General Practice in Dearborn Heights, MI. Organization (NPI-2).
NPI number1861662264
StatusActive
Last updated in NPPESMar 3, 2008
Details
- NPI
- 1861662264
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian J. Polidori DDS PC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2008
- Last updated
- Mar 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901016047 | MI | Yes |
Other names
- Polidori Dental (Doing Business As)
Practice location
22701 Ann Arbor TrlDearborn Heights, MI 48127-2574
Phone 313-274-4422 · Fax 313-274-7092
Mailing address
22701 Ann Arbor TrlDearborn Heights, MI 48127-2574
Phone 313-274-4422 · Fax 313-274-7092
Authorized official
Brian J Polidori
Owner
3132744422
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