Organization
BLOOMFIELD HILLS DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR ELBANHAWY (OWNER)
(248) 335-4427
Entity
Organization
Contact information
Practice address
43902 WOODWARD AVE STE 220, BLOOMFIELD HILLS, MI 48302-5022
(248) 335-4427
(248) 332-2014
Mailing address
43902 WOODWARD AVE STE 220, BLOOMFIELD HILLS, MI 48302-5022
(248) 335-4427
(248) 332-2014
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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