# NAHLA WADIE DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dental spot
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891157053
- **Authorized official:** DR. NAHLA WADIE DDS (OWNER)
- **Authorized official phone:** (248) 539-7781

## Contact information

- **Practice address:** 31487 NORTHWESTEREN HWY, FARMINGTON HILLS, MI 48334
- **Practice address phone:** (248) 539-7781
- **Practice address fax:** (248) 539-7782
- **Mailing address:** 31487 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-5415
- **Mailing address phone:** (248) 539-7781
- **Mailing address fax:** (248) 539-7782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16611 | MI | — |
| 122300000X | Dentist | 2901016611 | MI | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 03/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114024726 | — | MI |