| Lakeview Family Dental - Southfield, Pllc | |
|
26206 W 12 Mile Rd Southfield MI 48034-1754 | |
| (248) 356-8790 | |
| Not Available |
| Full Name | Lakeview Family Dental - Southfield, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26206 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Robert Gordon Nakisher (OWNER) |
| Authorized Official Contact | 2483633304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Family Dental - Southfield, Pllc 7010 Pontiac Trl West Bloomfield MI 48323-2017 Ph: (248) 363-3304 | Lakeview Family Dental - Southfield, Pllc 26206 W 12 Mile Rd Southfield MI 48034-1754 Ph: (248) 356-8790 |
| NPI Number | 1780325134 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 04/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780325134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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› Verified 9 days ago
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