| Amazing Dental Port Huron | |
|
4035 24th Ave Fort Gratiot MI 48059-3801 | |
| (810) 385-9766 | |
| Not Available |
| Full Name | Amazing Dental Port Huron |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4035 24th Ave, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Shams Hamama (CREDENTIALING) |
| Authorized Official Contact | 2489104819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Dental Port Huron 4035 24th Ave Fort Gratiot MI 48059-3801 Ph: () - | Amazing Dental Port Huron 4035 24th Ave Fort Gratiot MI 48059-3801 Ph: (810) 385-9766 |
| NPI Number | 1427568237 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427568237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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