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Organization
LIFETOUCH SMILES
Active
Organization
LIFETOUCH SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWLAT HASSO DDS (BUSINESS OWNER)
(734) 241-6166
Entity
Organization
Contact information
Practice address
1262 N MACOMB ST, MONROE, MI 48162-3197
(734) 241-6166
Mailing address
1262 N MACOMB ST, MONROE, MI 48162-3197
(734) 241-6166
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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