Organization
SOUTHFIELD DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMS HAMAMA (OFFICE MANAGER)
(586) 755-4310
Entity
Organization
Contact information
Practice address
26561 W. 12 MILE RD. STE. 105, SOUTHFIELD, MI 48034
(248) 864-7400
Mailing address
26561 W. 12 MILE RD. STE. 105, SOUTHFIELD, MI 48034
(248) 864-7400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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