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Organization
AMIR NAFSO DDS PC
Active
Organization
AMIR NAFSO DDS PC
Active
Other names
Bloomfield Hills Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY SAVAYA (BILLING SPECIALIST)
(248) 422-3200
Entity
Organization
Contact information
Practice address
36700 WOODWARD AVE STE 200, BLOOMFIELD HILLS, MI 48304-0930
(248) 290-2900
(248) 290-2904
Mailing address
36700 WOODWARD AVE STE 200, BLOOMFIELD HILLS, MI 48304-0930
(248) 290-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20080125078770
—
MI
05
—
20080125773595
—
MI
05
—
20080125976967
—
MI
05
—
2008012930092
—
MI
Enumeration date
09/16/2008
Last updated
06/23/2020
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