Provider Demographics
NPI:1578285862
Name:TROY LUXURY DENTISTRY
Entity Type:Organization
Organization Name:TROY LUXURY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:GHALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATRANJI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS-MS
Authorized Official - Phone:248-649-1975
Mailing Address - Street 1:1565 W BIG BEAVER RD BLDG F
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3525
Mailing Address - Country:US
Mailing Address - Phone:248-649-1975
Mailing Address - Fax:
Practice Address - Street 1:1565 W BIG BEAVER RD BLDG F
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3525
Practice Address - Country:US
Practice Address - Phone:248-649-1975
Practice Address - Fax:248-649-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty