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Individual

NIKKI MOSHIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
36051 5 MILE RD, LIVONIA, MI 48154-1931
(734) 462-6400
Mailing address
715 PALM BAY RD NE STE 185, WEST MELBOURNE, FL 32904-9184
(321) 332-7375

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN22188
FL
1223G0001X
General Practice Dentistry
Primary
2901600357
MI

Other

Enumeration date
08/02/2016
Last updated
09/05/2024
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