Organization

Smile Fresh Detroit Pc

May also be knows as Smile Fresh Dental

General Practice Dentistry in Detroit, MI(View on Map)

Legal Business Name

Smile Fresh Detroit Pc

Also Known As

Smile Fresh Dental

NPI Number

1164963401

NPI Type

Organization

Enumeration Date

03/20/2017

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

2901021727

Contact
Information

Purpose

Mailing
Location

Address

1507 THREADNEEDLE ST
7230 GRATIOT AVENUE

City

Bloomfield Hills
Detroit

State

MI
MI

Postal Code

48304-1020
48213

Country

US
US

Telephone Number

(248) 895-6987
(248) 895-6987

Authorized Official

Name

Fauzi Raziuddin

Title or Position

OFFICE MANAGER

Telephone Number

(248) 895-6987

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/20/2017

Provider Address

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