Organization
AMAZING DENTAL PORT HURON PLLC
Active
Other names
Amazing Dental Port Huron
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMS HAMAMA (CREDENTIALING)
(248) 910-4819
Entity
Organization
Contact information
Practice address
4035 24TH AVE, FORT GRATIOT, MI 48059-3801
(810) 385-9766
Mailing address
4035 24TH AVE, FORT GRATIOT, MI 48059-3801
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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