Individual
DR. RANDAL ALAN BOURJAILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30900 BECK RD, NOVI, MI 48377-1001
(248) 669-4030
(248) 669-3530
Mailing address
37470 E MEADOWHILL DR, NORTHVILLE, MI 48167-9018
(248) 471-3628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012353
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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