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NPI Code Detail

MEDICARE: DR. NAMRATA ISHAN LAHERI DDS

MEDICARE:  DR. NAMRATA ISHAN LAHERI  DDS
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
11223G0001XGeneral Practice Dentistry2901602351MI

General Provider Information

NPI Number : 1417776337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAMRATA ISHAN LAHERI DDS
Provider Business Mailing Address
First Line : 3912 FORESTER BLVD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-3052
Country : US
Telephone Number : 419-819-5734
Fax Number :
Provider Business Practice Location Address
First Line : 3912 FORESTER BLVD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-3052
Country : US
Telephone Number : 419-819-5734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2024
Last Update Date : 10/08/2024

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Directions to “ DR. NAMRATA ISHAN LAHERI DDS” Practice Location

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