Michael J Dionise, DDS Valid NPI
Individual provider · Dentist · Lansing, MI
- NPI
- 1790760254
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 014561 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-12-07
- Last updated
- 2007-07-08
Practice location
610 S Grand Ave
Lansing, MI 48933-2407
(517) 484-8910