Organization
RANDA JUNDI-SAMMAN DMD & ALISTER M MACKENZIE DDS PC
Active
Other names
Huron Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDA JUNDI-SAMMAN DMD (PRESIDENT DENTIST)
(810) 984-2742
Entity
Organization
Contact information
Practice address
1105 SEDGWICK ST, PORT HURON, MI 48060
(810) 984-2742
(810) 984-8934
Mailing address
1105 SEDGWICK ST, PORT HURON, MI 48060
(810) 984-2742
(810) 984-8934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901008328
MI
122300000X
Dentist
Primary
2901016445
MI
261QD0000X
Dental Clinic/Center
—
MI
Other
Enumeration date
08/20/2006
Last updated
07/21/2022
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