Organization
MAYFAIR DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NAKISHER D.D.S. (OWNER)
(248) 363-3304
Entity
Organization
Contact information
Practice address
30335 W 13 MILE RD, SUITE 101, FARMINGTON HILLS, MI 48334-2262
(248) 487-4013
(248) 747-4185
Mailing address
30335 W 13 MILE RD, SUITE 101, FARMINGTON HILLS, MI 48334-2262
(248) 487-4013
(248) 747-4185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
16085
MI
1223G0001X
General Practice Dentistry
Primary
8393
MI
1223G0001X
General Practice Dentistry
9918
MI
1223P0300X
Periodontics
19162
MI
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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