Organization
MODERN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHA ZETOUNA DDS (PRESIDENT)
(734) 644-7815
Entity
Organization
Contact information
Practice address
50810 ROMEO PLANK RD, MACOMB, MI 48044-1123
(734) 644-7815
Mailing address
50810 ROMEO PLANK RD, MACOMB, MI 48044-1123
(734) 644-7815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16908
MI
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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