# ROYAL OAK SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Royal Oak Surgical Center PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073818654
- **Authorized official:** HASSAN OUEIS DDS (DENTAL DIRECTOR)
- **Authorized official phone:** (248) 658-0878

## Contact information

- **Practice address:** 5130 COOLIDGE HIWAY, SUITE 120, ROYAL OAK, MI 48073
- **Practice address phone:** (248) 658-0878
- **Practice address fax:** (248) 435-0930
- **Mailing address:** 5130 COOLIDGE HWY STE 120, ROYAL OAK, MI 48073-1001
- **Mailing address phone:** (248) 658-0878
- **Mailing address fax:** (248) 435-0930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1010000053 | MI | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 636902 | MI | — |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 05/03/2024