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Organization
SELECT DENTAL PC
Active
Organization
SELECT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RICHARD ABOOD DDS (PRESIDENT OWNER)
(586) 790-7550
Entity
Organization
Contact information
Practice address
16128 15 MILE ROAD, SUITE 4, FRASER, MI 48026
(586) 790-7550
(586) 790-7780
Mailing address
16128 15 MILE ROAD, SUITE 4, FRASER, MI 48026
(586) 790-7550
(586) 790-7780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015471
MI
Other
Enumeration date
09/08/2006
Last updated
08/22/2020
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