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Organization
NORTHSTAR FAMILY DENTISTRY PLLC
Active
Organization
NORTHSTAR FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAITH MARYAM ABOONA DDS (PROVIDER/OWNER)
(586) 752-6596
Entity
Organization
Contact information
Practice address
64845 VAN DYKE RD STE 3, WASHINGTON, MI 48095-2836
(586) 752-6596
(586) 752-5471
Mailing address
64845 VAN DYKE RD STE 3, WASHINGTON, MI 48095-2836
(586) 752-6596
(586) 752-5471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
03/03/2017
Last updated
04/23/2020
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