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General NPI Number Information
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NPI Number | 1841657715
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Entity Type | Organization
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Legal Business Name | HAPPY SMILE FAMILY DENTAL, PLLC
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 43114 DEQUINDRE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1723
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Country | US
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Telephone | 586-799-4349
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Fax | 586-799-4371
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Provider Business Mailing Address
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Address Line | 43114 DEQUINDRE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1723
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Country | US
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Telephone | 586-799-4349
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Fax | 586-799-4371
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. MOHAMMAD ABDUS SALAM
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Credential | D.D.S., PH.D.
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Telephone | 248-824-9164
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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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