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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, Shores
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS HAMAMA (OFFICE MANAGER)
(586) 285-2000
Entity
Organization
Contact information
Practice address
31118 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1950
(586) 285-2000
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
—
—
Other
Enumeration date
08/31/2012
Last updated
10/19/2016
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