Organization
LIVONIA SMILES DENTAL CENTER
Active
Other names
Livonia Smiles Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI THARWAT ESSAK DMD (DENTIST)
(248) 477-5888
Entity
Organization
Contact information
Practice address
18224 FARMINGTON RD STE A, LIVONIA, MI 48152-4445
(248) 477-5888
(248) 477-6679
Mailing address
18224 FARMINGTON RD STE A, LIVONIA, MI 48152-4445
(248) 477-5888
(248) 477-6679
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073997441
—
MI
Enumeration date
08/20/2021
Last updated
08/20/2021
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