Organization
SMILE DENTAL HAMTRAMACK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDEL ALI (MANAGER)
(313) 398-4269
Entity
Organization
Contact information
Practice address
9411 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3435
(313) 398-4269
Mailing address
9411 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3435
(313) 398-4269
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134568868
NPI
MI
Enumeration date
01/18/2021
Last updated
01/18/2021
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