| Preferred Dental Assoc Pllc | |
|
6765 Orchard Lake Rd West Bloomfield MI 48322 | |
| (248) 851-6166 | |
| (248) 851-0012 |
| Full Name | Preferred Dental Assoc Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6765 Orchard Lake Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Nizar Naum Mansour (PARTNER) |
| Authorized Official Contact | 2488516166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Dental Assoc Pllc 6765 Orchard Lake Rd West Bloomfield MI 48322 Ph: (248) 851-6166 | Preferred Dental Assoc Pllc 6765 Orchard Lake Rd West Bloomfield MI 48322 Ph: (248) 851-6166 |
| NPI Number | 1669540498 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669540498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Michigan) | Primary |
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