# KHADIJE HUSSEIN DDS PLLC

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

## Provider details

- **NPI number:** 1366024382
- **Authorized official:** ROULA SAAD (MANAGER)
- **Authorized official phone:** (313) 581-7979

## Contact information

- **Practice address:** 6600 SCHAEFER RD, DEARBORN, MI 48126-4502
- **Practice address phone:** (313) 581-7979
- **Practice address fax:** (313) 581-7978
- **Mailing address:** 6600 SCHAEFER RD, DEARBORN, MI 48126-4502
- **Mailing address phone:** (313) 581-7979
- **Mailing address fax:** (313) 581-7978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2021
- **Last updated:** 04/28/2021