# COMFORT DENTAL SPA LIVONIA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** livonia family smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669827812
- **Authorized official:** MIR MOHSIN ALI RAZVI (DIRECTOR)
- **Authorized official phone:** (248) 974-2300

## Contact information

- **Practice address:** 16979 FARMINGTON RD, LIVONIA, MI 48154-2946
- **Practice address phone:** (248) 974-2300
- **Practice address fax:** (248) 708-6786
- **Mailing address:** 16979 FARMINGTON RD, LIVONIA, MI 48154-2946
- **Mailing address phone:** (248) 974-2300
- **Mailing address fax:** (248) 708-6786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901018778 | MI | Yes |
| 122300000X | Dentist | 2901021391 | MI | — |

## Other

- **Enumeration date:** 04/25/2016
- **Last updated:** 04/25/2016