Amazing Dental Port Huron Pllc
NPI #1427568237 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1427568237
- Entity Type
- Organization
- Organization Name
- Amazing Dental Port Huron Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 6, 2017
- Last Updated
- Oct 6, 2017
Practice Location
- Address
- 4035 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3801
- Phone
- (810) 385-9766
Authorized Official
- Name
- MS. SHAMS HAMAMA
- Title
- CREDENTIALING
- Phone
- (248) 910-4819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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