Organization
HURON DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYROZE REHEMTULLA (OWNER)
(734) 973-9155
Entity
Organization
Contact information
Practice address
2345 S HURON PKWY, ANN ARBOR, MI 48104-5124
(734) 973-9155
Mailing address
2345 S HURON PKWY, ANN ARBOR, MI 48104-5124
(734) 973-9155
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710008065
—
MI
Enumeration date
06/24/2022
Last updated
06/24/2022
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