| Star Dental P.c. | |
|
775 Baldwin Rd Suite C Pontiac MI 48340 | |
| (248) 338-3000 | |
| (248) 338-3173 |
| Full Name | Star Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 775 Baldwin Rd, Pontiac, Michigan |
| Authorized Official Name and Position | Siran S. Raouf (PRESIDENT) |
| Authorized Official Contact | 2483383000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Dental P.c. 775 Baldwin Rd Suite C Pontiac MI 48340 Ph: (248) 338-3000 | Star Dental P.c. 775 Baldwin Rd Suite C Pontiac MI 48340 Ph: (248) 338-3000 |
| NPI Number | 1750822748 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750822748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018555 (Michigan) | Primary |
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