Farmington Hills Dental Office | |
30330 W 12 Mile Rd Suite B Farmington Hills MI 48334-3821 | |
(248) 702-6117 | |
(248) 702-6118 |
Full Name | Farmington Hills Dental Office |
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Speciality | Dentist - General Practice |
Location | 30330 W 12 Mile Rd, Farmington Hills, Michigan |
Authorized Official Name and Position | Fadi Assaf (OWNER) |
Authorized Official Contact | 2487026117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Farmington Hills Dental Office 30330 W 12 Mile Rd Suite B Farmington Hills MI 48334-3821 Ph: (248) 702-6117 | Farmington Hills Dental Office 30330 W 12 Mile Rd Suite B Farmington Hills MI 48334-3821 Ph: (248) 702-6117 |
NPI Number | 1407395833 |
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Provider Enumeration Date | 02/17/2017 |
Last Update Date | 02/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407395833 | NPI | - | NPPES |
2901017447 | Other | MI | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901017447 (Michigan) | Primary |
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