Organization
GREAT LAKES SLEEP AND OROFACIAL PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZAN SABAGH DDS (PRESIDENT)
(310) 493-1133
Entity
Organization
Contact information
Practice address
75 BARCLAY CIR STE 205, ROCHESTER HILLS, MI 48307-5821
(310) 493-1133
Mailing address
16501 FALDA AVE, TORRANCE, CA 90504-1412
(310) 493-1133
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
05/08/2022
Last updated
06/14/2022
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