Organization
DENTAL HOUSE - ANN ARBOR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMY ATTALLA DMD (MANAGER)
(804) 539-6622
Entity
Organization
Contact information
Practice address
4860 WASHTENAW AVE, ANN ARBOR, MI 48108-3401
(804) 539-6622
Mailing address
4860 WASHTENAW AVE, ANN ARBOR, MI 48108-3401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901021583
MI
1223G0001X
General Practice Dentistry
2901021630
MI
261QD0000X
Dental Clinic/Center
Primary
2901021583
MI
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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