# NICE SMILE DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063920932
- **Authorized official:** DR. GEORGE GEORGES CHABIAAA DDS (PRESIDENT)
- **Authorized official phone:** (248) 624-5533

## Contact information

- **Practice address:** 1052 E WEST MAPLE RD, WALLED LAKE, MI 48390-3571
- **Practice address phone:** (248) 624-5533
- **Mailing address:** 1052 E WEST MAPLE RD, WALLED LAKE, MI 48390-3571
- **Mailing address phone:** (313) 269-4564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901017752 | MI | Yes |

## Other

- **Enumeration date:** 01/13/2018
- **Last updated:** 01/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1922173806 | — | MI |