Organization
NEW TROY GROUP DENTAL PLLC
Active
Other names
Square Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON SAM KHADDOR DDS (DENTIST/PARTNER)
(586) 804-8118
Entity
Organization
Contact information
Practice address
6053 ROCHESTER RD, TROY, MI 48085-1303
(248) 558-2785
Mailing address
6053 ROCHESTER RD, TROY, MI 48085-1303
(248) 558-2785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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