Organization
ASSOCIATED DENTISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAR NAUM MANSOUR DDS MS (PRESIDENT)
(248) 557-5461
Entity
Organization
Contact information
Practice address
28437 GREENFIELD RD, SUITE 101, SOUTHFIELD, MI 48076
(248) 557-5461
(248) 559-3163
Mailing address
28437 GREENFIELD RD, SUITE 101, SOUTHFIELD, MI 48076
(248) 557-5461
(248) 559-3163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MI
Other
Enumeration date
12/01/2006
Last updated
09/27/2012
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