Provider Demographics
NPI:1851430508
Name:DILORETO DENTAL CARE PC
Entity Type:Organization
Organization Name:DILORETO DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:DILORETO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-884-3050
Mailing Address - Street 1:20690 VERNIER RD
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1415
Mailing Address - Country:US
Mailing Address - Phone:313-884-3050
Mailing Address - Fax:313-884-0007
Practice Address - Street 1:20690 VERNIER RD
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1415
Practice Address - Country:US
Practice Address - Phone:313-884-3050
Practice Address - Fax:313-884-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010131351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty