Provider Demographics
NPI:1891541090
Name:K2 ORTHODONTICS PLLC
Entity type:Organization
Organization Name:K2 ORTHODONTICS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DINA
Authorized Official - Middle Name:MUNJED
Authorized Official - Last Name:NASER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:650-518-1930
Mailing Address - Street 1:8208 BLUE JAY DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6219
Mailing Address - Country:US
Mailing Address - Phone:650-518-1930
Mailing Address - Fax:
Practice Address - Street 1:557 E MICHIGAN AVE STE B
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1523
Practice Address - Country:US
Practice Address - Phone:734-545-1980
Practice Address - Fax:734-545-1981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty