Organization
SELECT DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUFIDA KHALIFE (DOCTOR)
(734) 459-3200
Entity
Organization
Contact information
Practice address
47299 FIVE MILE RD, PLYMOUTH, MI 48170-3764
(734) 459-3200
(734) 459-1995
Mailing address
47299 FIVE MILE RD, PLYMOUTH, MI 48170-3764
(734) 459-3200
(734) 459-1995
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901019252
MI
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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