Organization
RIVERCREST ORTHODONTICS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADI DAIA DDS, MS, FRCD(C) (PRESIDENT)
(248) 652-1244
Entity
Organization
Contact information
Practice address
930 W AVON RD STE 16, ROCHESTER HILLS, MI 48307-2759
(248) 652-1244
Mailing address
930 W AVON RD STE 16, ROCHESTER HILLS, MI 48307-2759
(248) 652-1244
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021680
MI
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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