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Organization
AMAZING DENTAL PORT HURON PLLC
Active
Organization
AMAZING DENTAL PORT HURON PLLC
Active
Other names
Amazing Dental Port Huron
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMS HAMAMA (CREDENTIALING)
(248) 910-4819
Entity
Organization
Contact information
Practice address
4035 24TH AVE, FORT GRATIOT, MI 48059-3801
(810) 385-9766
Mailing address
4035 24TH AVE, FORT GRATIOT, MI 48059-3801
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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