| NPI | 1427568237 |
|---|---|
| Doing Business As | AMAZING DENTAL PORT HURON |
| Entity Type | Organization |
| Authorized Contact | SHAMS HAMAMA Credentialing 248-910-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |