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Organization
DENTAL REHAB PC
Active
Organization
DENTAL REHAB PC
Active
Other names
Dental Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI JANDALI DMD (PRESIDENT)
(248) 626-6526
Entity
Organization
Contact information
Practice address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Mailing address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901017395
MI
Other
Enumeration date
02/20/2008
Last updated
06/24/2020
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