Organization
MY FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIH KIZY (MANAGER)
(586) 939-7788
Entity
Organization
Contact information
Practice address
626 N CROOKS RD, CLAWSON, MI 48017-1310
(586) 939-7788
(586) 303-0053
Mailing address
18800 W 10 MILE RD, SOUTHFIELD, MI 48075-2654
(586) 939-7788
(586) 303-0053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
MI
Enumeration date
07/11/2016
Last updated
07/11/2016
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