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Organization
GREAT SMILE DENTAL GROUP PC
Active
Organization
GREAT SMILE DENTAL GROUP PC
Active
Other names
Harris Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROUZANA HARES DDS (CO-OWNER)
(313) 871-2222
Entity
Organization
Contact information
Practice address
8721 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3720
(313) 871-2222
Mailing address
8721 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3720
(313) 871-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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