Individual
DR. NICOLE DANIELLE TEIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
44633 JOY RD, SUITE 300, CANTON, MI 48187-1730
(734) 454-9200
Mailing address
44633 JOY RD, SUITE 300, CANTON, MI 48187-1730
(734) 454-9200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901020130
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
57889
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7594
AZ
Other
Enumeration date
07/29/2008
Last updated
09/17/2012
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