# NEW FARMINGTON GROUP DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Warren Group Dental Pllc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659171882
- **Authorized official:** SHAMS HAMAMA (REGIONAL MANAGER)
- **Authorized official phone:** (248) 910-4819

## Contact information

- **Practice address:** 21635 RYAN RD, WARREN, MI 48091-2788
- **Practice address phone:** (248) 910-4819
- **Mailing address:** 59041 GRATIOT AVE, NEW HAVEN, MI 48048-2057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2025
- **Last updated:** 03/25/2025