Organization
DENTALWORKS
Active
Parent organization
DENTALONE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTALONE
Authorized official
HADI DAIA D.D.S., M.S. (ORTHODONTIST)
(716) 238-0015
Entity
Organization
Contact information
Practice address
32123 GRATIOT AVE, ROSEVILLE, MI 48066-1147
(586) 296-1943
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(586) 296-1943
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021680
MI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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