Provider Demographics
NPI:1588911788
Name:LEHAL, KARA (DDS, MS)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:LEHAL
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36602 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MI
Mailing Address - Zip Code:48062-1937
Mailing Address - Country:US
Mailing Address - Phone:586-727-5500
Mailing Address - Fax:586-727-3950
Practice Address - Street 1:36602 HERITAGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MI
Practice Address - Zip Code:48062-1937
Practice Address - Country:US
Practice Address - Phone:586-727-5500
Practice Address - Fax:586-727-3950
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010206571223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0221XDental ProvidersDentistPediatric Dentistry