| Sonoma Dental Group, P.c. | |
|
2425 Owen Rd Suite A Fenton MI 48430-1790 | |
| (810) 629-7682 | |
| (810) 629-0158 |
| Full Name | Sonoma Dental Group, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2425 Owen Rd, Fenton, Michigan |
| Authorized Official Name and Position | Nahal Mazhari (OWNER) |
| Authorized Official Contact | 8106297682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Dental Group, P.c. 2425 Owen Rd Suite A Fenton MI 48430-1790 Ph: (810) 629-7682 | Sonoma Dental Group, P.c. 2425 Owen Rd Suite A Fenton MI 48430-1790 Ph: (810) 629-7682 |
| NPI Number | 1225346968 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225346968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901017343 (Michigan) | Primary |
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