Tmj and Sleep of SE Michigan
NPI #1285003905 in Bloomfield, Michigan
Provider Information
- NPI Number
- 1285003905
- Entity Type
- Organization
- Organization Name
- Tmj and Sleep of SE Michigan
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 23, 2015
- Last Updated
- Sep 23, 2015
Practice Location
- Address
- 36700 WOODWARD AVE
- Address 2
- SUITE 200
- City
- Bloomfield
- State
- Michigan
- ZIP Code
- 48304-0926
- Phone
- (248) 290-2900
Authorized Official
- Name
- IVAN SAMANO, M.D.
- Title
- PRESIDENT
- Phone
- (248) 290-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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