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NPI 1649161787

NPI 1649161787 : WESTLAND DENTAL PLLC : WESTLAND, MI

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General NPI Number Information
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    NPI Number           |    1649161787
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTLAND DENTAL PLLC 
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Dates
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    Enumeration Date     |    07/15/2025
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    833 S WAYNE RD 
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    City                 |    WESTLAND
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    State                |    MI
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    Zip                  |    48186-4303
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    Country              |    US
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    Telephone            |    248-761-6848
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3213 ROCHESTER RD 
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    City                 |    ROYAL OAK
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    State                |    MI
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    Zip                  |    48073-3553
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    Country              |    US
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    Telephone            |    
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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                 |    DR. ALVIN Y DABOUL 
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    Credential           |    DDS
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    Telephone            |    248-866-2828
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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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