# ADVANCED DENTAL AESTHETICS NY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205229796
- **Authorized official:** DR. LOUIE KHOURI DDS (PRESIDENT)
- **Authorized official phone:** (212) 421-8180

## Contact information

- **Practice address:** 33 BLOOMFIELD HILLS PKWY, SUITE 140, BLOOMFIELD HILLS, MI 48304-2944
- **Practice address phone:** (212) 421-8180
- **Practice address fax:** (212) 421-8182
- **Mailing address:** 901 E 14 MILE RD, BIRMINGHAM, MI 48009-2038
- **Mailing address phone:** (212) 421-8180
- **Mailing address fax:** (212) 421-8182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2015
- **Last updated:** 03/09/2015