Organization
AAA ORCHARD DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAR NAUM MANSOUR DDS MS (PRESIDENT)
(248) 851-6166
Entity
Organization
Contact information
Practice address
6765 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322
(248) 851-6166
(248) 851-0012
Mailing address
6765 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48322
(248) 851-6166
(248) 851-0012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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