Organization
TROY COSMETIC AND IMPLANT DENTAL CENTER PLLC
Active
Other names
Troy Smiles Cosmetic and Implant Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI ESSAK DMD (OWNER/DENTIST)
(248) 528-3518
Entity
Organization
Contact information
Practice address
4770 ROCHESTER RD STE 106, TROY, MI 48085-4951
(248) 528-3518
Mailing address
4770 ROCHESTER RD STE 106, TROY, MI 48085-4951
(248) 528-3518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073997441
—
MI
Enumeration date
10/15/2020
Last updated
10/15/2020
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