# MIDWESTDENTAL OF DEARBORN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063894319
- **Authorized official:** DR. ZAID ANBAKI (OWNER)
- **Authorized official phone:** (313) 565-1102

## Contact information

- **Practice address:** 20055 CARLYSLE ST, DEARBORN, MI 48124-3803
- **Practice address phone:** (313) 565-1102
- **Mailing address:** 20055 CARLYSLE ST, DEARBORN, MI 48124-3803
- **Mailing address phone:** (313) 565-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901021145 | MI | Yes |

## Other

- **Enumeration date:** 06/23/2015
- **Last updated:** 06/23/2015