Individual
DR. NISHA KAPOOR YUSAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
38110 MICHIGAN AVE, WAYNE, MI 48184
(734) 728-1700
(734) 728-1762
Mailing address
3869 VICTORIA DR, TROY, MI 48083
(248) 528-6587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
L9689895315011761
MI
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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