# PAINLESS DENTAL GROUP

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

## Provider details

- **NPI number:** 1902042385
- **Authorized official:** DR. SAMAR BASHA D.D.S. (PARTNER)
- **Authorized official phone:** (586) 997-9999

## Contact information

- **Practice address:** 47151 VAN DYKE AVE, SHELBY TWP, MI 48317-3359
- **Practice address phone:** (586) 997-9999
- **Mailing address:** 47151 VAN DYKE AVE, SHELBY TWP, MI 48317-3359
- **Mailing address phone:** (586) 997-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019207 | MI | Yes |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 01/06/2009