Michael A Sansone, DDS Valid NPI

Individual provider · General Practice Dentistry · Birmingham, MI

NPI

1689716243

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

12025 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-12

Last updated

2007-07-08