# NORTH OAKS DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588962351
- **Authorized official:** DR. ALVIN DABOUL (DR)
- **Authorized official phone:** (248) 629-1830

## Contact information

- **Practice address:** 3213 ROCHESTER RD, ROYAL OAK, MI 48073-3553
- **Practice address phone:** (248) 629-1830
- **Mailing address:** 3213 ROCHESTER RD, ROYAL OAK, MI 48073-3553
- **Mailing address phone:** (248) 629-1830
- **Mailing address fax:** (248) 629-1820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/03/2011
- **Last updated:** 09/16/2021
