Organization
SAFARI KIDS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TEIFER DDS MSD (OWNER)
(734) 454-9200
Entity
Organization
Contact information
Practice address
44110 W 12 MILE RD STE 200, NOVI, MI 48377-2614
(734) 454-9200
(734) 454-9200
Mailing address
44110 W 12 MILE RD STE 200, NOVI, MI 48377-2614
(734) 454-9200
(734) 378-4057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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