# RABBAN-ACHO DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinton Township Family Dental, Clinton Town
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578192712
- **Authorized official:** DR. MILAD RABBAN DDS (DENTIST/OWNER)
- **Authorized official phone:** (586) 416-1444

## Contact information

- **Practice address:** 38550 GARFIELD RD STE C, CLINTON TOWNSHIP, MI 48038-3406
- **Practice address phone:** (586) 416-1444
- **Practice address fax:** (586) 416-1447
- **Mailing address:** 38550 GARFIELD RD STE C, CLINTON TOWNSHIP, MI 48038-3406
- **Mailing address phone:** (586) 416-1444
- **Mailing address fax:** (586) 416-1447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |
| 122400000X | Denturist | — | NULL | — |
| 122400000X | Denturist | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 04/08/2020
- **Last updated:** 04/08/2020
