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Individual
DR. ASMA ABDULRAZZAK
Active
Individual
DR. ASMA ABDULRAZZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19158
DELTA DENTAL
MI
01
—
2901019158
BLUE CROSS BLUE SHIELD ID
MI
05
—
4795083
—
MI
01
—
D191580
BCBS PIN
MI
Enumeration date
11/16/2006
Last updated
03/07/2023
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