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Organization
LIVONIA SMILES DENTAL CENTER
Active
Organization
LIVONIA SMILES DENTAL CENTER
Active
Other names
Livonia Smiles Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI THARWAT ESSAK DMD (DENTIST)
(248) 477-5888
Entity
Organization
Contact information
Practice address
18224 FARMINGTON RD STE A, LIVONIA, MI 48152-4445
(248) 477-5888
(248) 477-6679
Mailing address
18224 FARMINGTON RD STE A, LIVONIA, MI 48152-4445
(248) 477-5888
(248) 477-6679
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073997441
—
MI
Enumeration date
08/20/2021
Last updated
08/20/2021
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