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Organization
NEW FARMINGTON GROUP DENTAL PLLC
Active
Organization
NEW FARMINGTON GROUP DENTAL PLLC
Active
Other names
New Warren Group Dental Pllc
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS HAMAMA (REGIONAL MANAGER)
(248) 910-4819
Entity
Organization
Contact information
Practice address
21635 RYAN RD, WARREN, MI 48091-2788
(248) 910-4819
Mailing address
59041 GRATIOT AVE, NEW HAVEN, MI 48048-2057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/25/2025
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