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Organization

LAKES PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAILA S FAROOQ BDS MS DDPH (PRESIDENT)
(248) 360-2555
Entity
Organization

Contact information

Practice address
3101 UNION LAKE RD, COMMERCE, MI 48382-4547
(248) 360-2555
(248) 360-1333
Mailing address
3101 UNION LAKE RD, COMMERCE, MI 48382-4547
(248) 360-2555
(248) 360-1333

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901017794
MI

Other

Enumeration date
05/08/2006
Last updated
08/22/2020
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