Healthcare Provider Details

I. General information

NPI: 1922458793
Provider Name (Legal Business Name): DALIA MAHMOUD AL-ALFE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WAVE DENTAL SPECIALISTS 27283 W WARREN ST
DEARBORN HEIGHTS MI
48127-1804
US

IV. Provider business mailing address

410 BELANGER ST
GROSSE POINTE FARMS MI
48236-3202
US

V. Phone/Fax

Practice location:
  • Phone: 313-351-9839
  • Fax:
Mailing address:
  • Phone: 313-351-9839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number2901021854
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: