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Organization
SHELBY DENTAL CENTER P.C.
Active
Organization
SHELBY DENTAL CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAFID W KIZY DMD (DENTIST)
(248) 968-2748
Entity
Organization
Contact information
Practice address
47059 VAN DYKE AVE, SHELBY TWP, MI 48317-3357
(586) 737-2778
(586) 737-2776
Mailing address
47059 VAN DYKE AVE, SHELBY TWP, MI 48317-3357
(586) 737-2778
(586) 737-2776
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1823026
MI
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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