Organization
ELITE DENTAL GROUPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM A AL-MUNIF D.D.S., M.S. (OWNER)
(734) 421-1181
Entity
Organization
Contact information
Practice address
1658 MIDDLEBELT RD, GARDEN CITY, MI 48135-2879
(734) 421-1181
Mailing address
1658 MIDDLEBELT RD, GARDEN CITY, MI 48135-2879
(734) 421-1181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020171
MI
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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