# WAELY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAELY DENTAL PLLC
- **Other names:** Michigan Smiles Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992312680
- **Legal business name:** WAELY DENTAL PLLC
- **Authorized official:** DR. RUAA WAELY DDS (DOCTOR OF DENTAL SURGERY)
- **Authorized official phone:** (313) 626-0476

## Contact information

- **Practice address:** 1769 INKSTER RD, GARDEN CITY, MI 48135-3028
- **Practice address phone:** (734) 421-4150
- **Mailing address:** 23902 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-1452
- **Mailing address phone:** (313) 925-5179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2020
- **Last updated:** 09/26/2020