Organization
PEARLY SMILE DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHA BISHARA (DENTIST)
(586) 817-1810
Entity
Organization
Contact information
Practice address
48889 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 566-5220
Mailing address
42460 SILVERWOOD DR, STERLING HEIGHTS, MI 48314-2941
(586) 817-1810
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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