Organization
NYE DENTAL OF TAYLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIH KIZY (MANAGER)
(586) 709-4210
Entity
Organization
Contact information
Practice address
14745 NORTHLINE RD, SOUTHGATE, MI 48195-2407
(734) 374-2070
Mailing address
14745 NORTHLINE RD, SOUTHGATE, MI 48195-2407
(734) 374-2070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942649454
—
MI
Enumeration date
07/22/2020
Last updated
12/13/2021
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