# DR. ASMA ABDULRAZZAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629141619
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901019158 | MI | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 03/07/2023

## 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 |