Organization · NPI-2
Convenient Family Dental Center, P.C.
Dentist, General Practice · Okemos, MI
NPI number1073858007
StatusActive
Last updated in NPPESDec 3, 2012
Details
- NPI
- 1073858007
- Entity type
- Organization (NPI-2)
- Legal business name
- Convenient Family Dental Center, P.C.
- Organization subpart
- No
- Enumeration date
- Dec 3, 2012
- Last updated
- Dec 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901017489 | MI | Yes |
Other names
- Convenient Family Dental (Doing Business As)
Practice location
1735 Hamilton RdSte. 450
Okemos, MI 48864-1894
Phone 248-755-5700
Mailing address
23800 Orchard Lake RdSte. 106
Farmington Hills, MI 48336-2560
Phone 248-755-5700
Authorized official
Mirza Baig
President
2487555700
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