SMILE FRESH DETROIT PC NPI 1164963401

NPI Information

SMILE FRESH DETROIT PC is a general practice dentist in Detroit, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILE FRESH DETROIT PC NPI is 1164963401. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smile Fresh Dental.

The provider's business location address is:

7230 GRATIOT AVENUE
DETROIT, MI
ZIP 48213
Phone: (248) 895-6987

The provider's authorized official is Fauzi Mohammed Raziuddin .
The authorized official title is Office Manager and has the following contact phone number (248) 895-6987.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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