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General NPI Number Information
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NPI Number | 1811780364
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Entity Type | Organization
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Legal Business Name | ROCHESTER HILLS DENTAL PLLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 455 S LIVERNOIS RD STE B12
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2580
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Country | US
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Telephone | 248-652-7300
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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 | 248-629-1830
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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 YOUSIF DABOUL
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Credential |
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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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