Organization
NORTHPORT DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEH EID (PRESIDENT/DENTIST)
(586) 294-4710
Entity
Organization
Contact information
Practice address
32837 HAYES RD, WARREN, MI 48088-7367
(586) 294-4710
Mailing address
32837 HAYES RD, WARREN, MI 48088-7367
(586) 294-4710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019424
MI
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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