Organization
PINNACLE DENTAL GROUP PLLC
Active
Other names
Life Touch Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DAWLAT HASSO DDS (PRESIDENT)
(248) 379-3093
Entity
Organization
Contact information
Practice address
1262 N MACOMB ST, MONROE, MI 48162-3197
(734) 241-6166
Mailing address
6323 GLYNDEBOURNE DR, TROY, MI 48098-2212
(248) 379-3093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
08/13/2023
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