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General NPI Number Information
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NPI Number | 1427940410
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Entity Type | Organization
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Legal Business Name | DELUXE DENTAL STERLING HEIGHTS 15 PLLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 33760 DEQUINDRE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-5880
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Country | US
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Telephone | 248-212-0400
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Fax | 810-243-0454
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Provider Business Mailing Address
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Address Line | 1090 W HURON ST
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City | WATERFORD
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State | MI
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Zip | 48328-3733
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Country | US
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Telephone | 248-212-0400
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Fax | 810-243-0454
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMBER MIKHA KIZY
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Credential | DDS
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Telephone | 810-820-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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