Organization
SONOMA DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHAL MAZHARI DDS (SECRETARY)
(810) 629-7682
Entity
Organization
Contact information
Practice address
234 W CAROLINE ST, SUITE 5, FENTON, MI 48430-2807
(810) 629-7682
(810) 629-0158
Mailing address
234 W CAROLINE ST, SUITE 5, FENTON, MI 48430-2807
(810) 629-7682
(810) 629-0158
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901017343
MI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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