Organization
HURON DENTAL ASSOCIATES, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE AN HAMEL (OFFICE MANAGER)
(313) 383-6800
Entity
Organization
Contact information
Practice address
18757 HURON RIVER DR, NEW BOSTON, MI 48164-9357
(734) 753-5000
Mailing address
18757 HURON RIVER DR, NEW BOSTON, MI 48164-9357
(734) 753-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8001880
BCBS
MA
Enumeration date
10/02/2006
Last updated
09/22/2016
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