Individual
ALIREZA DANESHVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
G3500 FLUSHING RD STE 107, FLINT, MI 48504-4219
(810) 720-0611
(810) 720-0613
Mailing address
G3500 FLUSHING RD STE 107, FLINT, MI 48504-4219
(810) 720-0611
(810) 720-0613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020769
MI
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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