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Organization

CARE DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RANDA DAGHER (OWNER/MANAGER)
(313) 945-9977
Entity
Organization

Contact information

Practice address
5237 OAKMAN BLVD, DEARBORN, MI 48126-4045
(313) 945-9977
(313) 945-9970
Mailing address
5237 OAKMAN BLVD, DEARBORN, MI 48126-4045
(313) 945-9977
(313) 945-9970

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
124Q00000X
Dental Hygienist
126800000X
Dental Assistant

Other

Enumeration date
08/08/2014
Last updated
08/08/2014
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