# DENTAL REHAB PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194993428
- **Authorized official:** DR. RAMI JANDALI DMD (PRESIDENT)
- **Authorized official phone:** (248) 626-6526

## Contact information

- **Practice address:** 26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
- **Practice address phone:** (248) 626-6526
- **Practice address fax:** (248) 626-6529
- **Mailing address:** 26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
- **Mailing address phone:** (248) 626-6526
- **Mailing address fax:** (248) 626-6529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 2901017395 | MI | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 06/24/2020