| Professional Dental Alliance Of Michigan, Llc | |
|
69089 N Main St Richmond MI 48062-1146 | |
| (586) 727-5898 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Michigan, Llc |
|---|---|
| Speciality | Dentist |
| Location | 69089 N Main St, Richmond, Michigan |
| Authorized Official Name and Position | Shams Hamama (OFFICE MANAGER) |
| Authorized Official Contact | 5867275898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Michigan, Llc 11 S Mill St Ste 200 New Castle PA 16101-3613 Ph: (724) 698-2500 | Professional Dental Alliance Of Michigan, Llc 69089 N Main St Richmond MI 48062-1146 Ph: (586) 727-5898 |
| NPI Number | 1144579467 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144579467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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