Organization
JOMANA S SHAYOTA
Active
Other names
Dental House and Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
JOMANA S SHAYOTA DDS (DDS)
(248) 973-8102
Entity
Organization
Contact information
Practice address
32749 FRANKLIN RD STE 200, FRANKLIN, MI 48025-1122
(248) 973-8102
Mailing address
32749 FRANKLIN RD STE 200, FRANKLIN, MI 48025-1122
(248) 973-8102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003334046
INDIVIDUAL NPI
MI
Enumeration date
05/16/2022
Last updated
06/23/2023
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