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Organization

H&S DDS PC

Active
Other names
Elegant Smile Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
HOUSSEIN HARAJLI D.D.S. (DENTIST)
(313) 893-7454
Entity
Organization

Contact information

Practice address
12021 CONANT ST, HAMTRAMCK, MI 48212-2716
(313) 893-7454
(313) 893-7504
Mailing address
12021 CONANT ST, HAMTRAMCK, MI 48212-2716
(313) 893-7454
(313) 893-7504

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017759
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12-4828756
MI
Enumeration date
12/08/2006
Last updated
06/20/2008
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