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Organization
MICHIGAN FAMILY DENTISTRY, PLLC
Active
Organization
MICHIGAN FAMILY DENTISTRY, PLLC
Active
Other names
Amazing Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI JANDALI DMD, MS (OWNER)
(248) 626-6526
Entity
Organization
Contact information
Practice address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Mailing address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
NULL
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/14/2018
Last updated
03/04/2021
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