MEDICARE: SARA HELMI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2901022666	MI

General Provider Information

NPI Number	:	1134604960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA HELMI

Provider Business Mailing Address
First Line	:	1301 ORLEANS ST. APT #1404 E
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48207
Country	:	US
Telephone Number	:	313-806-3515
Fax Number	:

Provider Business Practice Location Address
First Line	:	5695 DIXIE HWY
Second Line	:
City	:	WATERFORD TWP
State	:	MI
Zip	:	48329
Country	:	US
Telephone Number	:	248-625-2066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2018
Last Update Date	:	10/18/2018

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Directions to “ SARA HELMI ” Practice Location

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