Organization
DELUXE DENTAL ASSOCIATES 6 SOUTHFIELD PLLC
Active
Other names
Deluxe Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KIZY (OWNER)
(810) 820-7766
Entity
Organization
Contact information
Practice address
19931 W 12 MILE RD STE L28, SOUTHFIELD, MI 48076-2591
(810) 820-7766
(810) 243-0454
Mailing address
19931 W 12 MILE RD STE L28, SOUTHFIELD, MI 48076-2591
(810) 820-7766
(810) 243-0454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376941773
—
MI
Enumeration date
12/03/2021
Last updated
09/11/2025
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