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Organization
LAKEVIEW FAMILY DENTAL - SOUTHFIELD, PLLC
Active
Organization
LAKEVIEW FAMILY DENTAL - SOUTHFIELD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON NAKISHER DDS (OWNER)
(248) 363-3304
Entity
Organization
Contact information
Practice address
26206 W 12 MILE RD, SOUTHFIELD, MI 48034-1754
(248) 356-8790
Mailing address
7010 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2017
(248) 363-3304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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