Organization
AMIR NAFSO DDS PC
Active
Other names
Bloomfield Hills Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY SAVAYA (BILLING SPECIALIST)
(248) 422-3200
Entity
Organization
Contact information
Practice address
36700 WOODWARD AVE STE 200, BLOOMFIELD HILLS, MI 48304-0930
(248) 290-2900
(248) 290-2904
Mailing address
36700 WOODWARD AVE STE 200, BLOOMFIELD HILLS, MI 48304-0930
(248) 290-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20080125078770
—
MI
05
—
20080125773595
—
MI
05
—
20080125976967
—
MI
05
—
2008012930092
—
MI
Enumeration date
09/16/2008
Last updated
06/23/2020
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