Organization
OAKLAND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHANA DHAWAN MS ( ORTHODONTICS) (ORTHODONTIST)
(248) 824-3097
Entity
Organization
Contact information
Practice address
2789 ROCHESTER RD, TROY, MI 48083-1920
(248) 824-3097
Mailing address
4781 AVONDALE TER, BLOOMFIELD HILLS, MI 48304-3603
(248) 824-3097
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901021806
N/A
MI
Enumeration date
07/22/2020
Last updated
07/22/2020
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