Individual provider · NPI-1

Sandra Alias

Dentist, General Practice · Farmington Hills, MI

NPI number1396351045
StatusActive
Last updated in NPPESSep 18, 2020

Details

NPI
1396351045
Entity type
Individual (NPI-1)
Name
Sandra Alias
Sex
Female
Sole proprietor
No
Enumeration date
Sep 18, 2020
Certification date
Sep 18, 2020
Last updated
Sep 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901600573MIYes

Practice location

27828 Westcott Crescent Cir
Farmington Hills, MI 48334-5314

Phone 248-933-1151

Mailing address

27828 Westcott Crescent Cir
Farmington Hills, MI 48334-5314

Phone 248-933-1151

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