| Dental Rehabilitation Center | |
|
26699 W 12 Mile Rd Ste 200 Southfield MI 48034-7815 | |
| (248) 626-6526 | |
| (248) 626-6529 |
| Full Name | Dental Rehabilitation Center |
|---|---|
| Speciality | Dentist |
| Location | 26699 W 12 Mile Rd Ste 200, Southfield, Michigan |
| Authorized Official Name and Position | Rami Jandali (PRESIDENT) |
| Authorized Official Contact | 2486266526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Rehabilitation Center 26699 W 12 Mile Rd Ste 200 Southfield MI 48034-7815 Ph: (248) 626-6526 | Dental Rehabilitation Center 26699 W 12 Mile Rd Ste 200 Southfield MI 48034-7815 Ph: (248) 626-6526 |
| NPI Number | 1194993428 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 06/24/2020 |
| Medicare PECOS PAC ID | 8820048242 |
|---|---|
| Medicare Enrollment ID | O20050124000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194993428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 2901017395 (Michigan) | Primary |
| Provider Name | Rami Jandali |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821007923 PECOS PAC ID: 6800846221 Enrollment ID: I20050125000113 |
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