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Organization
NYE DENTAL OF SOUTHGATE PC
Active
Organization
NYE DENTAL OF SOUTHGATE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIH KIZY (MANAGER)
(586) 709-4210
Entity
Organization
Contact information
Practice address
14745 NORTHLINE RD, SOUTHGATE, MI 48195-2407
(586) 709-4210
Mailing address
14745 NORTHLINE RD, SOUTHGATE, MI 48195-2407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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