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Organization
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Active
Organization
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Active
Other names
Dental Care of Michigan, Livonia
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS HAMAMA (REGIONAL MANAGER)
(586) 573-7500
Entity
Organization
Contact information
Practice address
37595 7 MILE RD, STE 450, LIVONIA, MI 48152-1003
(734) 855-4474
Mailing address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
10/20/2016
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