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Organization
SMILE ENVY PLLC
Active
Organization
SMILE ENVY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODETTE HAOUILOU (OWNER/DENTIST)
(586) 354-3903
Entity
Organization
Contact information
Practice address
30969 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-1338
(586) 354-3903
Mailing address
19 RIVERBANK DR, BEVERLY HILLS, MI 48025-4802
(586) 354-3903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
06/01/2023
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