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Provider Information for 1306961347



MR. ZIA RAFIQ DDS

Gender: MALE

Individual NPI: 1306961347

Calendar Last Updated: 2016-02-03

Details

Name Value
NPI 1306961347
Enumeration Date 2007-03-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 22190 GARRISON ST STE 205
DEARBORN, MI 48124-2235
United States

Phone: 313-562-3388 | Fax:
View Map External Link
Primary Practice Address 22190 GARRISON SUITE 205
DEARBORN, MI 48124
United States

Phone: 313-562-3388 | Fax: 313-562-3303
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist MI 16907
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location