# NEW HAVEN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Haven Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932956943
- **Authorized official:** NABIH KIZY (MANAGER)
- **Authorized official phone:** (586) 709-4210

## Contact information

- **Practice address:** 59041 GRATIOT AVE, NEW HAVEN, MI 48048-2057
- **Practice address phone:** (586) 749-3333
- **Mailing address:** 59041 GRATIOT AVE, NEW HAVEN, MI 48048-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 05/06/2024