Organization
DENTAL REHAB PC
Active
Other names
Dental Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI JANDALI DMD (PRESIDENT)
(248) 626-6526
Entity
Organization
Contact information
Practice address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Mailing address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901017395
MI
Other
Enumeration date
02/20/2008
Last updated
06/24/2020
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