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Organization
SONOMA DENTAL GROUP, P.C.
Active
Organization
SONOMA DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHAL MAZHARI DDS (OWNER)
(810) 629-7682
Entity
Organization
Contact information
Practice address
2425 OWEN RD, SUITE A, FENTON, MI 48430-1790
(810) 629-7682
(810) 629-0158
Mailing address
2425 OWEN RD, SUITE A, FENTON, MI 48430-1790
(810) 629-7682
(810) 629-0158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017343
MI
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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