Organization
CANTON DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASER SHAHEEN (OWNER)
(734) 899-4000
Entity
Organization
Contact information
Practice address
5958 N CANTON CENTER RD STE 100, CANTON, MI 48187-2766
(734) 899-4000
Mailing address
6148 MEADOWVIEW DR, CANTON, MI 48187-4750
(313) 918-5188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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