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Organization
DINA ELHOUT DDS PC
Active
Organization
DINA ELHOUT DDS PC
Active
Other names
Center for Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
YASSER ALALI DDS (DENTIST/OWNER)
(313) 563-6601
Entity
Organization
Contact information
Practice address
430 N TELEGRAPH RD, DEARBORN, MI 48128-1619
(313) 563-6601
(313) 563-6986
Mailing address
430 N TELEGRAPH RD, DEARBORN, MI 48128-1619
(313) 563-6601
(313) 563-6986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021238
MI
1223P0300X
Periodontics
2901021098
MI
1223P0700X
Prosthodontics
Primary
2901020729
MI
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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