# NOVA DENTAL PLLC

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

## Provider details

- **NPI number:** 1174127856
- **Authorized official:** ABDULJALIL AL-HAJJAJ DDS (DENTIST)
- **Authorized official phone:** (313) 826-2138

## Contact information

- **Practice address:** 10413 FORD RD, UNIT N, DEARBORN, MI 48126
- **Practice address phone:** (313) 826-2138
- **Mailing address:** 6402 JONATHON ST, DEARBORN, MI 48126-2230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 12/21/2020