Organization
NEW HAVEN DENTAL PLLC
Active
Other names
New Haven Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NABIH KIZY (MANAGER)
(586) 709-4210
Entity
Organization
Contact information
Practice address
59041 GRATIOT AVE, NEW HAVEN, MI 48048-2057
(586) 749-3333
Mailing address
59041 GRATIOT AVE, NEW HAVEN, MI 48048-2057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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