Provider Demographics
NPI:1902165293
Name:ZIA RAFIQ DDS PLLC
Entity Type:Organization
Organization Name:ZIA RAFIQ DDS PLLC
Other - Org Name:ALL BRITE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFIQ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-562-3388
Mailing Address - Street 1:22190 GARRISON ST STE 205
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2235
Mailing Address - Country:US
Mailing Address - Phone:313-562-3388
Mailing Address - Fax:313-562-3303
Practice Address - Street 1:22190 GARRISON ST STE 205
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2235
Practice Address - Country:US
Practice Address - Phone:313-562-3388
Practice Address - Fax:313-562-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2069494122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty