# ALL STAR KIDS PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Star Kids Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386484301
- **Authorized official:** MOHAMMED SOBH (OWNER)
- **Authorized official phone:** (313) 254-0777

## Contact information

- **Practice address:** 4925 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 48125-2027
- **Practice address phone:** (248) 254-0777
- **Mailing address:** 4925 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 48125-2027
- **Mailing address phone:** (248) 254-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2024
- **Last updated:** 05/28/2024