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Organization

ROBERT G. NAKISHER, D.D.S., P.L.L.C

Active
Other names
LakeView Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT G NAKISHER D.D.S. (OWNER)
(248) 363-3304
Entity
Organization

Contact information

Practice address
7010 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2017
(248) 363-3304
(248) 363-0814
Mailing address
7010 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2017
(248) 363-3304
(248) 363-0814

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15650
MI
1223G0001X
General Practice Dentistry
Primary
16085
MI
1223G0001X
General Practice Dentistry
9918
MI
1223P0300X
Periodontics
19162
MI

Other

Enumeration date
02/06/2014
Last updated
02/06/2014
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