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Organization
SMILE FRESH TROY, P.C.
Active
Organization
SMILE FRESH TROY, P.C.
Active
Other names
Smile Fresh Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAUZI RAZIUDDIN (MANAGER)
(248) 906-8805
Entity
Organization
Contact information
Practice address
1059 OWENDALE DR, TROY, MI 48083-1913
(248) 906-8805
Mailing address
1059 OWENDALE DR, TROY, MI 48083-1913
(248) 906-8805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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