Individual
ALIN ALIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
33 BLOOMFIELD HILLS PKWY STE 140, BLOOMFIELD HILLS, MI 48304-2922
(248) 647-5434
Mailing address
33 BLOOMFIELD HILLS PKWY STE 140, BLOOMFIELD HILLS, MI 48304-2922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602375
MI
1223G0001X
General Practice Dentistry
28116
FL
Other
Enumeration date
06/16/2023
Last updated
01/03/2026
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