# SELECT DENTAL PC

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

## Provider details

- **NPI number:** 1104920446
- **Authorized official:** DR. MICHAEL RICHARD ABOOD DDS (PRESIDENT OWNER)
- **Authorized official phone:** (586) 790-7550

## Contact information

- **Practice address:** 16128 15 MILE ROAD, SUITE 4, FRASER, MI 48026
- **Practice address phone:** (586) 790-7550
- **Practice address fax:** (586) 790-7780
- **Mailing address:** 16128 15 MILE ROAD, SUITE 4, FRASER, MI 48026
- **Mailing address phone:** (586) 790-7550
- **Mailing address fax:** (586) 790-7780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 015471 | MI | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 08/22/2020