| Brilliant Dentistry | |
|
28050 Ford Rd Suite D Garden City MI 48135-2967 | |
| (734) 956-5604 | |
| (734) 956-5284 |
| Full Name | Brilliant Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 28050 Ford Rd, Garden City, Michigan |
| Authorized Official Name and Position | Adnan Khazaal (OWNER) |
| Authorized Official Contact | 7349565604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Dentistry 28050 Ford Rd Suite D Garden City MI 48135-2967 Ph: (734) 956-5604 | Brilliant Dentistry 28050 Ford Rd Suite D Garden City MI 48135-2967 Ph: (734) 956-5604 |
| NPI Number | 1013357094 |
|---|---|
| Provider Enumeration Date | 07/05/2013 |
| Last Update Date | 07/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013357094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901016118 (Michigan) | Primary |
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Gary A. Cohen, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27560 Cherry Hill Rd, Garden City, MI 48135 Phone: 734-422-5480 Fax: 734-422-3446 |