Organization
NICE SMILE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GEORGES CHABIAAA DDS (PRESIDENT)
(248) 624-5533
Entity
Organization
Contact information
Practice address
1052 E WEST MAPLE RD, WALLED LAKE, MI 48390-3571
(248) 624-5533
Mailing address
1052 E WEST MAPLE RD, WALLED LAKE, MI 48390-3571
(313) 269-4564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922173806
—
MI
Enumeration date
01/13/2018
Last updated
01/13/2018
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