Sunlite Dental

NPI #1922206507 in Hazel Park, Michigan

Provider Information

NPI Number: 1922206507
Entity Type: Organization
Organization Name: Sunlite Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 22826 JOHN R RD
City: Hazel Park
State: Michigan
ZIP Code: 48030-1702
Phone: (248) 548-1777

Authorized Official

Name: SAMAR MOKHAYESH
Title: DENTIST
Phone: (248) 548-1777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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