Organization
MICHIGAN DENTAL TEAM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAA ZORA (OWNER)
(562) 805-5577
Entity
Organization
Contact information
Practice address
30671 STEPHENSON HWY STE F, MADISON HEIGHTS, MI 48071-1651
(717) 759-4375
(717) 759-4336
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
01/27/2025
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