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Contact Information

ADVANCED IMPLANT AND COSMETIC DENTISTRY
16321 W 14 MILE RD
SUITE 200
BEVERLY HILLS, MI48025
 Phone: 248-336-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED IMPLANT AND COSMETIC DENTISTRY · (Female)

NPI Number 1720480155
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2014
Last updated 09/17/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 13214
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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