Provider Demographics
NPI:1669475588
Name:MOLINARI, GAIL ELLEN (DDS, MS, MS)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:ELLEN
Last Name:MOLINARI
Suffix:
Gender:F
Credentials:DDS, MS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44045 DEEP HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-8408
Mailing Address - Country:US
Mailing Address - Phone:586-774-2210
Mailing Address - Fax:
Practice Address - Street 1:28050 HARPER AVE
Practice Address - Street 2:
Practice Address - City:ST CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1562
Practice Address - Country:US
Practice Address - Phone:586-774-2210
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010146721223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry