# EZ DENTIST PLLC

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

## Provider details

- **NPI number:** 1558126763
- **Authorized official:** HARJOT VIRK (DR)
- **Authorized official phone:** (313) 915-0015

## Contact information

- **Practice address:** 27150 PROVIDENCE PKWY STE B, NOVI, MI 48374-1272
- **Practice address phone:** (280) 270-8315
- **Mailing address:** 27072 DEBIASI DR, BROWNSTOWN, MI 48174
- **Mailing address phone:** (313) 915-0015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2024
- **Last updated:** 03/06/2024