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General NPI Number Information
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NPI Number | 1669475588
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Entity Type | Individual
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Provider Name | GAIL ELLEN MOLINARI D.D.S., M.S., M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 28050 HARPER AVE
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City | ST CLAIR SHORES
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State | MI
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Zip | 48081-1562
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Country | US
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Telephone | 586-774-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 44045 DEEP HOLLOW CIR
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City | NORTHVILLE
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State | MI
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Zip | 48167-8408
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Country | US
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Telephone | 586-774-2210
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 2901014672
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License Number State | MI
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