Organization
SMILE AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDAA ABDAL DDS (OWNER)
(248) 478-0900
Entity
Organization
Contact information
Practice address
30890 W 10 MILE RD, FARMINGTON HILLS, MI 48336-2606
(248) 939-1801
Mailing address
30890 W 10 MILE RD, FARMINGTON HILLS, MI 48336-2606
(248) 939-1801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017620
MI
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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