Individual
KAIS DARDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 15 MILE RD, STERLING HEIGHTS, MI 48310-4807
(586) 275-2021
Mailing address
4237 CYPRESS DR, TROY, MI 48085-4872
(704) 891-2903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600669
MI
Other
Enumeration date
08/06/2020
Last updated
05/07/2021
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