Organization
MICHIGAN IMPLANT DENTAL CENTER
Active
Other names
Livonia Cosmetic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL SHAKFA (GENERAL)
(734) 427-9300
Entity
Organization
Contact information
Practice address
28701 PLYMOUTH RD STE B, LIVONIA, MI 48150-2421
(734) 427-9300
Mailing address
28701 PLYMOUTH RD STE B, LIVONIA, MI 48150-2421
(734) 427-9300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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