| North Oaks Dental Pllc | |
|
3213 Rochester Rd Royal Oak MI 48073-3553 | |
| (248) 629-1830 | |
| Not Available |
| Full Name | North Oaks Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3213 Rochester Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Alvin Daboul (DR) |
| Authorized Official Contact | 2486291830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Oaks Dental Pllc 3213 Rochester Rd Royal Oak MI 48073-3553 Ph: (248) 629-1830 | North Oaks Dental Pllc 3213 Rochester Rd Royal Oak MI 48073-3553 Ph: (248) 629-1830 |
| NPI Number | 1588962351 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 3476958513 |
|---|---|
| Medicare Enrollment ID | O20210826003403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588962351 | NPI | - | NPPES |
| Provider Name | Alvin Yousif Daboul |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033362793 PECOS PAC ID: 6103953062 Enrollment ID: I20200424001604 |
| Provider Name | Mustapha Hotait |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518199850 PECOS PAC ID: 8820395254 Enrollment ID: I20211207001146 |
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