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NPI Code Detail

MEDICARE: TULIPS FAMILY DENTAL PLLC

MEDICARE: TULIPS FAMILY DENTAL PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1962928382
Entity Type Code : Organization
Provider Name (Legal Business Name) : TULIPS FAMILY DENTAL PLLC
Provider Business Mailing Address
First Line : 9433 JOSEPH CAMPAU ST
Second Line :
City : HAMTRAMCK
State : MI
Zip : 48212-3435
Country : US
Telephone Number : 248-824-9164
Fax Number :
Provider Business Practice Location Address
First Line : 9433 JOSEPH CAMPAU ST
Second Line :
City : HAMTRAMCK
State : MI
Zip : 48212-3435
Country : US
Telephone Number : 248-824-9164
Fax Number :
Authorized Official
Title or Position : OWNER DENTIST
Name : DR. MOHAMMAD ABDUS SALAM
Credential : DDS
Telephone Number : 248-824-9164
Provider Enumeration Date : 08/17/2017
Last Update Date : 07/21/2022

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Directions to “TULIPS FAMILY DENTAL PLLC ” Practice Location

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