Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2901600541 | MI |
NPI | 1003471517 |
---|---|
Provider Name | Dr. Jonathan Saher Zora |
First Address | West Bloomfield, MI 48324-3287 |
Second Address | Detroit, MI 48208-2576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2019 |
Last Update Date | 02/08/2021 |