Organization
LASER FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAZEN DAOUD BISHARA (OFFICE MANAGER)
(248) 250-9333
Entity
Organization
Contact information
Practice address
41069 DEQUINDRE RD STE 101, TROY, MI 48085-6730
(248) 250-9333
(248) 688-9221
Mailing address
41069 DEQUINDRE RD STE 101, TROY, MI 48085-6730
(248) 250-9333
(248) 688-9221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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