Organization
PARK FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRZA M BAIG D.D.S. (PRESIDENT)
(248) 755-5700
Entity
Organization
Contact information
Practice address
28350 GRATIOT AVE, ROSEVILLE, MI 48066-4208
(248) 755-5700
Mailing address
28350 GRATIOT AVE, ROSEVILLE, MI 48066-4208
(248) 755-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017489
MI
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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