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Organization
STAR DENTAL P.C.
Active
Organization
STAR DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIRAN S. RAOUF DDS (PRESIDENT)
(248) 338-3000
Entity
Organization
Contact information
Practice address
775 BALDWIN RD, SUITE C, PONTIAC, MI 48340
(248) 338-3000
(248) 338-3173
Mailing address
775 BALDWIN RD, SUITE C, PONTIAC, MI 48340
(248) 338-3000
(248) 338-3173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018555
MI
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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