Organization
AMIT BATRA D.D.S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA FARENGER (OFFICE MANAGER)
(586) 412-1144
Entity
Organization
Contact information
Practice address
15760 19 MILE RD, STE. A, CLINTON TOWNSHIP, MI 48038-6319
(586) 412-1144
(586) 412-8959
Mailing address
15760 19 MILE RD, STE. A, CLINTON TOWNSHIP, MI 48038-6319
(586) 412-1144
(586) 412-8959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18743
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164644209
NPI INDIVIDUAL
MI
01
—
1407836141
NPI INDIVIDUAL
MI
Enumeration date
09/30/2008
Last updated
09/30/2008
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