# WISSAM B MALOUF DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Malouf Family & Cosmetic Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497897839
- **Authorized official:** DR. WISSAM BENDOC MALOUF DDS (PRESIDENT)
- **Authorized official phone:** (586) 772-9020

## Contact information

- **Practice address:** 27600 LITTLE MACK, ST CLAIR SHORES, MI 48081
- **Practice address phone:** (586) 772-9020
- **Practice address fax:** (586) 222-0709
- **Mailing address:** 27600 LITTLE MACK, ST CLAIR SHORES, MI 48081
- **Mailing address phone:** (586) 772-9020
- **Mailing address fax:** (586) 222-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901018266 | MI | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020