# FYW DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Clinic of Allen Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457890238
- **Authorized official:** DR. YASER SHAHEEN DMD (MANAGER PARTNER)
- **Authorized official phone:** (313) 918-5188

## Contact information

- **Practice address:** 17007 ECORSE RD, ALLEN PARK, MI 48101-2451
- **Practice address phone:** (313) 918-5188
- **Mailing address:** 17007 ECORSE RD, ALLEN PARK, MI 48101-2451

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 02/14/2017