# KHAIRUNNISA QURAISHI DDS PC

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

## Provider details

- **NPI number:** 1386185445
- **Authorized official:** KHAIRUNNISA QURAISHI (DDS PC)
- **Authorized official phone:** (586) 978-2042

## Contact information

- **Practice address:** 37184 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-3536
- **Practice address phone:** (586) 978-2042
- **Mailing address:** 37184 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-3536
- **Mailing address phone:** (586) 978-2042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017