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NPI Code Detail

MEDICARE: DR. SUMIA ABDALLAH DDS

MEDICARE: DR. SUMIA ABDALLAH DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2901019595MI
21223G0001XGeneral Practice Dentistry2901019595MI

General Provider Information

NPI Number : 1841482239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUMIA ABDALLAH DDS
Provider Business Mailing Address
First Line : 3887 JOHN R RD
Second Line :
City : TROY
State : MI
Zip : 48083-5687
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 511 W 8 MILE RD
Second Line :
City : DETROIT
State : MI
Zip : 48203-1004
Country : US
Telephone Number : 313-891-7330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2007
Last Update Date : 08/10/2007

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Directions to “ DR. SUMIA ABDALLAH DDS” Practice Location

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