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Lux Dental PLLC

Clinic/Center, Dental in Waterford, MI. Organization (NPI-2).

NPI number1952004228
StatusActive
Last updated in NPPESMar 24, 2023

Details

NPI
1952004228
Entity type
Organization (NPI-2)
Legal business name
Lux Dental PLLC
Organization subpart
No
Enumeration date
Mar 24, 2023
Certification date
Mar 24, 2023
Last updated
Mar 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Lux Dental (Doing Business As)

Practice location

4470 Highland Rd
Waterford, MI 48328-1222

Phone 248-275-3244

Mailing address

4470 Highland Rd
Waterford, MI 48328-1222

Phone 248-275-3244

Authorized official

Sonya Mansour
Manager
5868436474

Is something wrong?

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