Individual
DR. NICHOLAS THOMAS RAFAILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
49050 SCHOENHERR RD, SUITE 400, SHELBY TOWNSHIP, MI 48315-3856
(586) 247-5544
Mailing address
24 SUNNINGDALE DR, GROSSE POINTE SHORES, MI 48236-1662
(313) 640-4250
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16261
MI
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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