Children's Dental Care Pllc

NPI 1164773024 - Dentist - 1223P0221X

NPI Details
NPI 1164773024
Enumeration Date 10/01/2012
Last Updated 10/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HASSAN SAMI HASSAN
Position MEMBER
Phone (313) 404-1061
Fax
Practice Location
14710 W WARREN AVE
DEARBORN MI, 48126-1347, US
Phone (313) 404-1061
Fax
Business Location
14710 W WARREN AVE
DEARBORN MI, 48126-1347, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Michigan
License Number 2901019369
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According to our database, Children's Dental Care Pllc NPI is 1164773024, taxonomy code is 1223P0221X and license number is 2901019369, license state is located at Michigan. Children's Dental Care Pllc physically located at 14710 W Warren Ave, Dearborn MI, 48126-1347. NPI Number 1033115704 has the healthcare provider type.

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1164773024 NPI number is provided on an as is basis without warranty of any kind. 1164773024 is maintained by the National Plan & Provider Enumeration System. The contents of Children's Dental Care Pllc are for informational purposes only.