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Organization

DENTAL HOUSE - WATERFORD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAMY ATTALLA DMD (CEO)
(804) 539-6622
Entity
Organization

Contact information

Practice address
5979 HIGHLAND ROAD, WATERFORD TWP, MI 48327
(734) 999-9909
Mailing address
4860 WASHTENAW AVE STE D, ANN ARBOR, MI 48108-3401
(804) 539-6622

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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