Organization
FLOSSOPHY PLLLC
Active
Other names
Flossophy Dental Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
VISHNU BURLA (OWNER DENTIST)
(248) 848-3828
Entity
Organization
Contact information
Practice address
33200 W 14 MILE RD STE 190, WEST BLOOMFIELD, MI 48322-3570
(248) 847-3828
Mailing address
33200 W 14 MILE RD STE 190, WEST BLOOMFIELD, MI 48322-3570
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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