Organization
MICHIGAN FAMILY DENTISTRY, PLLC
Active
Other names
Amazing Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI JANDALI DMD, MS (OWNER)
(248) 626-6526
Entity
Organization
Contact information
Practice address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Mailing address
26699 W 12 MILE RD STE 200, SOUTHFIELD, MI 48034-7815
(248) 626-6526
(248) 626-6529
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/14/2018
Last updated
03/04/2021
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