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Organization

WAELY DENTAL PLLC

Active
Parent organization
WAELY DENTAL PLLC
Other names
Michigan Smiles Family Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAELY DENTAL PLLC
Authorized official
DR. RUAA WAELY DDS (DOCTOR OF DENTAL SURGERY)
(313) 626-0476
Entity
Organization

Contact information

Practice address
1769 INKSTER RD, GARDEN CITY, MI 48135-3028
(734) 421-4150
Mailing address
23902 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-1452
(313) 925-5179

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/26/2020
Last updated
09/26/2020
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