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General NPI Number Information
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NPI Number | 1083301980
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Entity Type | Organization
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Legal Business Name | DEVOTED DENTAL GROUP
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 2287 S MILFORD RD
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City | HIGHLAND
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State | MI
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Zip | 48357-4933
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Country | US
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Telephone | 248-717-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 4390 OAK GROVE DR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-2773
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Country | US
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Telephone | 248-717-2911
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Fax |
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | NAWRAS NAJOR
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Credential | DDS
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Telephone | 248-467-7072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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