# AAA ORCHARD DENTAL PC

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

## Provider details

- **NPI number:** 1437227261
- **Authorized official:** NIZAR NAUM MANSOUR DDS MS (PRESIDENT)
- **Authorized official phone:** (248) 851-6166

## Contact information

- **Practice address:** 6765 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322
- **Practice address phone:** (248) 851-6166
- **Practice address fax:** (248) 851-0012
- **Mailing address:** 6765 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322
- **Mailing address phone:** (248) 851-6166
- **Mailing address fax:** (248) 851-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | MI | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/22/2020