NPI 1134287873

Susan Melody Daftary, DDS

Practitioner General Practice Dentistry Commerce Township, MI

Practice location

Address: 2735 Benstein Rd, Commerce Township, MI 48390-1101
Phone: (248) 624-3010
Fax: (248) 624-5886

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2901017135 (MI)

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Registry record

NPI: 1134287873
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.