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Organization

NAHLA WADIE DDS

Active
Other names
dental spot
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAHLA WADIE DDS (OWNER)
(248) 539-7781
Entity
Organization

Contact information

Practice address
31487 NORTHWESTEREN HWY, FARMINGTON HILLS, MI 48334
(248) 539-7781
(248) 539-7782
Mailing address
31487 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334-5415
(248) 539-7781
(248) 539-7782

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
16611
MI
122300000X
Dentist
Primary
2901016611
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114024726
MI
Enumeration date
03/25/2016
Last updated
03/25/2016
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