Organization
PAINLESS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMAR BASHA D.D.S. (PARTNER)
(586) 997-9999
Entity
Organization
Contact information
Practice address
47151 VAN DYKE AVE, SHELBY TWP, MI 48317-3359
(586) 997-9999
Mailing address
47151 VAN DYKE AVE, SHELBY TWP, MI 48317-3359
(586) 997-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019207
MI
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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