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Individual
DR. BASSAM KINAIA
Active
Individual
DR. BASSAM KINAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17676
MI
1223P0300X
Periodontics
Primary
2901017676
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4469514
—
MI
01
—
463306091
01
MI
Enumeration date
01/18/2007
Last updated
07/07/2022
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