Abdal, Nidaa A

Abdal, Nidaa A is an sole proprietor health care provider with primary practice located at 30890 W 10 Mile Rd , Farmington Hills MI 48336-2606. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Abdal, Nidaa A can be contacted via phone (248) 478-0900.

Contact Information

Primary practice address
30890 W 10 Mile Rd Farmington Hills MI 48336-2606
Fax: (248) 855-0613
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901017620 Michigan

Profile Details

NPI number 1164515128
LBN Legal business name Abdal, Nidaa A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Dec 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164515128 NPPES
Michigan MEDICAID 4465023

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