Organization
MACK DENTAL CENTER
Active
Other names
Mack Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE GEORGES CHABIAA DDS (PRESIDENT)
(313) 269-4564
Entity
Organization
Contact information
Practice address
20640 VERNIER RD, HARPER WOODS, MI 48225
(313) 343-6650
(888) 978-5270
Mailing address
20640 VERNIER RD, HARPER WOODS, MI 48225
(313) 269-4564
(888) 978-5270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4303938
—
MI
Enumeration date
10/10/2008
Last updated
10/18/2024
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