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Organization

BRIGHT SMILE DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDUL SHAKFA DDS (OWNER)
(586) 944-8162
Entity
Organization

Contact information

Practice address
3681 CHEVRON DR, HIGHLAND, MI 48356-1715
(586) 997-9999
(586) 739-5735
Mailing address
3681 CHEVRON DR, HIGHLAND, MI 48356-1715
(586) 997-9999
(586) 739-5735

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19207
MI
1223G0001X
General Practice Dentistry
Primary
19388
MI

Other

Enumeration date
02/17/2009
Last updated
02/17/2009
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