Organization
GREAT LAKES SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHAF HALIMEH-SUEDE DDS (OWNER)
(616) 295-2854
Entity
Organization
Contact information
Practice address
37683 PEMBROKE AVE, LIVONIA, MI 48152-1050
(734) 542-4999
Mailing address
40400 ANN ARBOR RD E STE 202B, PLYMOUTH, MI 48170-6613
(734) 459-9360
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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