Organization
GREAT SMILE DENTAL GROUP PC
Active
Other names
Harris Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROUZANA HARES DDS (CO-OWNER)
(313) 871-2222
Entity
Organization
Contact information
Practice address
8721 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3720
(313) 871-2222
Mailing address
8721 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3720
(313) 871-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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