Organization
LALA SMILES DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONISHA CHADDA DDS (DENTIST)
(248) 703-6287
Entity
Organization
Contact information
Practice address
4313 ROCHESTER RD, ROYAL OAK, MI 48073-4743
(248) 435-8880
Mailing address
4313 ROCHESTER RD, ROYAL OAK, MI 48073-4743
(248) 435-8880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901021303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629484530
INDIVIDUAL
—
Enumeration date
03/09/2018
Last updated
03/09/2018
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