Organization
LAKEVIEW FAMILY DENTAL - KEEGO HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON NAKISHER DDS (MEMBER)
(248) 230-3362
Entity
Organization
Contact information
Practice address
2819 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1448
(248) 683-2323
Mailing address
7010 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2017
(248) 363-3304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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