Organization
PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN, LLC
Active
Other names
Dental Care of Michigan, Shores
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS HAMAMA (OFFICE MANAGER)
(586) 285-2000
Entity
Organization
Contact information
Practice address
31118 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1950
(586) 285-2000
Mailing address
11 S MILL ST, SUITE 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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