# ZOMA DENTAL FARMINGTON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Zoma Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891499562
- **Authorized official:** JACQUELINE J ZOMA DDS (DENTIST)
- **Authorized official phone:** (248) 925-2054

## Contact information

- **Practice address:** 33211 GRAND RIVER AVE STE 23, FARMINGTON, MI 48336-6403
- **Practice address phone:** (248) 925-2054
- **Mailing address:** 33776 VISTA DR, FARMINGTON HILLS, MI 48331-2269
- **Mailing address phone:** (248) 925-2054

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2023
- **Last updated:** 03/28/2023