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Organization
WHITE LAKE DENTAL PLLC
Active
Organization
WHITE LAKE DENTAL PLLC
Active
Other names
White Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FADI ABSHARA (OWNER)
(586) 212-8128
Entity
Organization
Contact information
Practice address
1099 UNION LAKE RD, WHITE LAKE, MI 48386-4541
(248) 360-3700
Mailing address
1099 UNION LAKE RD, WHITE LAKE, MI 48386-4541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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