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Organization
BRILLIANT DENTISTRY
Active
Organization
BRILLIANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADNAN KHAZAAL D.D.S. (OWNER)
(734) 956-5604
Entity
Organization
Contact information
Practice address
28050 FORD RD, SUITE D, GARDEN CITY, MI 48135-2967
(734) 956-5604
(734) 956-5284
Mailing address
28050 FORD RD, SUITE D, GARDEN CITY, MI 48135-2967
(734) 956-5604
(734) 956-5284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016118
MI
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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