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Organization
TMJ AND SLEEP OF SE MICHIGAN
Active
Organization
TMJ AND SLEEP OF SE MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SAMANO M.D. (PRESIDENT)
(248) 290-2900
Entity
Organization
Contact information
Practice address
36700 WOODWARD AVE, SUITE 200, BLOOMFIELD, MI 48304-0926
(248) 290-2900
Mailing address
36700 WOODWARD AVE, SUITE 200, BLOOMFIELD, MI 48304-0926
(248) 290-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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