# DENTAL HOUSE - WATERFORD, PLLC

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

## Provider details

- **NPI number:** 1700418555
- **Authorized official:** RAMY ATTALLA DMD (CEO)
- **Authorized official phone:** (804) 539-6622

## Contact information

- **Practice address:** 5979 HIGHLAND ROAD, WATERFORD TWP, MI 48327
- **Practice address phone:** (734) 999-9909
- **Mailing address:** 4860 WASHTENAW AVE STE D, ANN ARBOR, MI 48108-3401
- **Mailing address phone:** (804) 539-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/10/2020
- **Last updated:** 02/10/2020