Organization
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Active
Other names
Dental Care of Michigan, Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS HAMAMA (OFFICE MANAGER)
(586) 727-5898
Entity
Organization
Contact information
Practice address
69089 N MAIN ST, RICHMOND, MI 48062-1146
(586) 727-5898
Mailing address
11 S MILL ST, STE 200, NEW CASTLE, PA 16101-3613
(724) 698-2500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
10/19/2016
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