Organization
PURPOSE PROFESSIONAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KIZY DDS (DENTIST)
(734) 335-8000
Entity
Organization
Contact information
Practice address
45520 TYLER RD, VAN BUREN TWP, MI 48111-1717
(734) 335-8000
Mailing address
45520 TYLER RD, VAN BUREN TWP, MI 48111-1717
(734) 335-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
10/03/2023
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