Individual
MANJINDER KAUR KHAIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26500 W HURON RIVER DR, FLAT ROCK, MI 48134-1135
(815) 748-2666
Mailing address
32750 CARDINAL LN, WAYNE, MI 48184-2559
(734) 306-8444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901602421
MI
1223G0001X
General Practice Dentistry
Primary
019.035110
IL
Other
Enumeration date
05/29/2024
Last updated
10/13/2025
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