# FARMINGTON FAMILY DENTAL PLLC

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

## Provider details

- **NPI number:** 1649693284
- **Authorized official:** DR. AHMAD DEEBAJAH DDS (OWNER)
- **Authorized official phone:** (248) 478-3285

## Contact information

- **Practice address:** 34405 GRAND RIVER, FARMINGTON, MI 48335
- **Practice address phone:** (248) 478-3285
- **Practice address fax:** (248) 478-9398
- **Mailing address:** 34405 GRAND RIVER, FARMINGTON, MI 48335
- **Mailing address phone:** (248) 478-3285
- **Mailing address fax:** (248) 478-9398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20359 | MI | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 02/03/2014