| Randa Jundi-samman Dmd & Alister M Mackenzie Dds Pc | |
|
1105 Sedgwick St Port Huron MI 48060 | |
| (810) 984-2742 | |
| (810) 984-8934 |
| Full Name | Randa Jundi-samman Dmd & Alister M Mackenzie Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1105 Sedgwick St, Port Huron, Michigan |
| Authorized Official Name and Position | Randa Jundi-samman (PRESIDENT DENTIST) |
| Authorized Official Contact | 8109842742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randa Jundi-samman Dmd & Alister M Mackenzie Dds Pc 1105 Sedgwick St Port Huron MI 48060 Ph: (810) 984-2742 | Randa Jundi-samman Dmd & Alister M Mackenzie Dds Pc 1105 Sedgwick St Port Huron MI 48060 Ph: (810) 984-2742 |
| NPI Number | 1083729370 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083729370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901008328 (Michigan) | Secondary |
| 261QD0000X | Clinic/center - Dental | (Michigan) | Secondary |
| 122300000X | Dentist | 2901016445 (Michigan) | Primary |
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