Organization
SOHA SHAMAS DDS PC
Active
Other names
Prima Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SOHA SHAMAS DDS (OWNER)
(917) 853-6638
Entity
Organization
Contact information
Practice address
23601 FORD RD, DEARBORN, MI 48128-1227
(313) 565-8544
(313) 565-3870
Mailing address
23601 FORD RD, DEARBORN, MI 48128-1227
(313) 565-8544
(313) 565-3870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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