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Organization
FYW DENTAL
Active
Organization
FYW DENTAL
Active
Other names
Smile Clinic of Allen Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASER SHAHEEN DMD (MANAGER PARTNER)
(313) 918-5188
Entity
Organization
Contact information
Practice address
17007 ECORSE RD, ALLEN PARK, MI 48101-2451
(313) 918-5188
Mailing address
17007 ECORSE RD, ALLEN PARK, MI 48101-2451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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