# LAKEVIEW FAMILY DENTAL - KEEGO HARBOR

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

## Provider details

- **NPI number:** 1578154688
- **Authorized official:** DR. ROBERT GORDON NAKISHER DDS (MEMBER)
- **Authorized official phone:** (248) 230-3362

## Contact information

- **Practice address:** 2819 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1448
- **Practice address phone:** (248) 683-2323
- **Mailing address:** 7010 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2017
- **Mailing address phone:** (248) 363-3304

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2021
- **Last updated:** 02/01/2021