Healthcare Provider Details

I. General information

NPI: 1609677384
Provider Name (Legal Business Name): AFRESH DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 N TELEGRAPH RD
WATERFORD MI
48328-3760
US

IV. Provider business mailing address

9 N TELEGRAPH RD
WATERFORD MI
48328-3760
US

V. Phone/Fax

Practice location:
  • Phone: 248-897-0500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAFI SALEEM
Title or Position: OWNER
Credential: DDS
Phone: 248-792-1122