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Organization
SUNLITE DENTAL
Active
Organization
SUNLITE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAR MOKHAYESH (DENTIST)
(248) 548-1777
Entity
Organization
Contact information
Practice address
22826 JOHN R RD, HAZEL PARK, MI 48030-1702
(248) 548-1777
Mailing address
52833 SEVEN OAKS DR, SHELBY TOWNSHIP, MI 48316-2992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017682
MI
Other
Enumeration date
07/05/2007
Last updated
08/22/2020
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