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Individual

DR. ALI AL-SAMMAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
30070 23 MILE RD, CHESTERFIELD, MI 48047-5718
(586) 598-8744
Mailing address
410 SPRINGVIEW DR, ROCHESTER, MI 48307-1736
(248) 480-3956

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019.032771
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24354081244
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A425048961939
DRIVER LICENSE
MI
Enumeration date
04/16/2020
Last updated
03/21/2025
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