Provider Demographics
NPI:1841734019
Name:STERLING LASER FAMILY DENTISTRY,PC.
Entity type:Organization
Organization Name:STERLING LASER FAMILY DENTISTRY,PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHJAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-722-7599
Mailing Address - Street 1:37300 DEQUINDRE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3595
Mailing Address - Country:US
Mailing Address - Phone:586-722-7599
Mailing Address - Fax:586-722-7059
Practice Address - Street 1:37300 DEQUINDRE RD STE 101
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3595
Practice Address - Country:US
Practice Address - Phone:586-722-7599
Practice Address - Fax:586-722-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty