Professional Dental Alliance of Michigan, LLC

NPI #1124457494 in Livonia, Michigan

Provider Information

NPI Number: 1124457494
Entity Type: Organization
Organization Name: Professional Dental Alliance of Michigan, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 6, 2013
Last Updated: Oct 20, 2016

Practice Location

Address: 37595 7 MILE RD
Address 2: STE 450
City: Livonia
State: Michigan
ZIP Code: 48152-1003
Phone: (734) 855-4474

Authorized Official

Name: SHAMS HAMAMA
Title: REGIONAL MANAGER
Phone: (586) 573-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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