Organization
DINA ELHOUT DDS PC
Active
Other names
Center for Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
YASSER ALALI DDS (DENTIST/OWNER)
(313) 563-6601
Entity
Organization
Contact information
Practice address
430 N TELEGRAPH RD, DEARBORN, MI 48128-1619
(313) 563-6601
(313) 563-6986
Mailing address
430 N TELEGRAPH RD, DEARBORN, MI 48128-1619
(313) 563-6601
(313) 563-6986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021238
MI
1223P0300X
Periodontics
2901021098
MI
1223P0700X
Prosthodontics
Primary
2901020729
MI
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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