Organization
PEARL DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHAQ GHALEB ALI DDS (PRESIDENT)
(313) 870-9423
Entity
Organization
Contact information
Practice address
9811 CONANT ST, SUITE#2, HAMTRAMCK, MI 48212-3877
(313) 870-9423
Mailing address
9811 CONANT ST, SUITE#2, HAMTRAMCK, MI 48212-3877
(313) 870-9423
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901018920
MI
Other
Enumeration date
12/23/2006
Last updated
08/22/2020
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