| Amazing Oral Surgery909 | |
|
26699 W 12 Mile Rd Ste 110 Southfield MI 48034-1578 | |
| (248) 306-8288 | |
| (248) 306-8289 |
| Full Name | Amazing Oral Surgery909 |
|---|---|
| Speciality | Dentist |
| Location | 26699 W 12 Mile Rd Ste 110, Southfield, Michigan |
| Authorized Official Name and Position | Ahmad Yosif (OWNER) |
| Authorized Official Contact | 9099673444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Oral Surgery909 401 Commerce Dr Ste 108 Fort Washington PA 19034-2724 Ph: (248) 306-8288 | Amazing Oral Surgery909 26699 W 12 Mile Rd Ste 110 Southfield MI 48034-1578 Ph: (248) 306-8288 |
| NPI Number | 1659997716 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659997716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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