Organization
FORT DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI SAMMAN D.D.S. (OWNER/PARTNER)
(313) 386-9404
Entity
Organization
Contact information
Practice address
3515 FORT ST, LINCOLN PARK, MI 48146-4101
(313) 386-9404
(313) 386-9405
Mailing address
3515 FORT ST, LINCOLN PARK, MI 48146-4101
(313) 386-9404
(313) 386-9405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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