Organization
REDFORD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZEENA J. KAZANGY D.D.S. (PRESIDENT)
(313) 535-3300
Entity
Organization
Contact information
Practice address
15148 BEECH DALY RD, REDFORD, MI 48239-3202
(313) 533-3300
Mailing address
15148 BEECH DALY RD, REDFORD, MI 48239-3202
(313) 533-3300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4275600
—
MI
Enumeration date
10/22/2007
Last updated
10/22/2007
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