Associated Dentists PC
Dentist, General Practice in Southfield, MI. Organization (NPI-2).
NPI number1508934340
StatusActive
Last updated in NPPESSep 27, 2012
Details
- NPI
- 1508934340
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Dentists PC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Sep 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | MI | Yes |
Practice location
28437 Greenfield RdSuite 101
Southfield, MI 48076
Phone 248-557-5461 · Fax 248-559-3163
Mailing address
28437 Greenfield RdSuite 101
Southfield, MI 48076
Phone 248-557-5461 · Fax 248-559-3163
Authorized official
Nizar Naum Mansour
President
2485575461
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