Provider Demographics
NPI:1003099300
Name:CEDAR DENTAL, P.C.
Entity Type:Organization
Organization Name:CEDAR DENTAL, P.C.
Other - Org Name:CEDAR FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRZA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-755-5700
Mailing Address - Street 1:6250 S CEDAR ST
Mailing Address - Street 2:STE. 5
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5744
Mailing Address - Country:US
Mailing Address - Phone:517-394-2226
Mailing Address - Fax:517-394-3860
Practice Address - Street 1:6250 S CEDAR ST
Practice Address - Street 2:STE. 5
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5744
Practice Address - Country:US
Practice Address - Phone:517-394-2226
Practice Address - Fax:517-394-3860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty