Organization
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Active
Other names
Dental Care of Michigan, Livonia
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS HAMAMA (REGIONAL MANAGER)
(586) 573-7500
Entity
Organization
Contact information
Practice address
37595 7 MILE RD, STE 450, LIVONIA, MI 48152-1003
(734) 855-4474
Mailing address
11 S MILL ST, SUITE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
10/20/2016
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