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Organization

EXTRA DENTAL PC

Active
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Organization

EXTRA DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINA YASEEN DDS (DENTIST/OWNER)
(847) 794-3355
Entity
Organization

Contact information

Practice address
8170 23 MILE RD, SHELBY TOWNSHIP, MI 48316-4502
(847) 794-3355
Mailing address
8170 23 MILE RD, SHELBY TOWNSHIP, MI 48316-4502
(847) 794-3355

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
About Stedi
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