# MANOR DENTAL CENTER P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942499322
- **Authorized official:** MR. ALEX I AWWAD (OWNER)
- **Authorized official phone:** (313) 727-7227

## Contact information

- **Practice address:** 10645 W WARREN AVE, SUITE 100, DEARBORN, MI 48126-1540
- **Practice address phone:** (313) 582-3340
- **Practice address fax:** (313) 582-3339
- **Mailing address:** 10645 W WARREN AVE, SUITE 100, DEARBORN, MI 48126-1540
- **Mailing address phone:** (313) 582-3340
- **Mailing address fax:** (313) 582-3339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 00347Y | MI | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 10/22/2007