Organization
LUX DENTAL PLLC
Active
Other names
Lux Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA MANSOUR (MANAGER)
(586) 843-6474
Entity
Organization
Contact information
Practice address
4470 HIGHLAND RD, WATERFORD, MI 48328-1222
(248) 275-3244
Mailing address
4470 HIGHLAND RD, WATERFORD, MI 48328-1222
(248) 275-3244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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