# MACK DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mack Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982855706
- **Authorized official:** MR. GEORGE GEORGES CHABIAA DDS (PRESIDENT)
- **Authorized official phone:** (313) 269-4564

## Contact information

- **Practice address:** 20640 VERNIER RD, HARPER WOODS, MI 48225
- **Practice address phone:** (313) 343-6650
- **Practice address fax:** (888) 978-5270
- **Mailing address:** 20640 VERNIER RD, HARPER WOODS, MI 48225
- **Mailing address phone:** (313) 269-4564
- **Mailing address fax:** (888) 978-5270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017752 | MI | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4303938 | — | MI |