Individual
DR. BASSAM KINAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3801 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-3710
(586) 275-7667
(586) 275-7872
Mailing address
3801 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-3710
(586) 275-7667
(586) 275-7872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17676
MI
1223P0300X
Periodontics
Primary
2901017676
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4469514
—
MI
01
—
463306091
01
MI
Enumeration date
01/18/2007
Last updated
07/07/2022
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