Organization
PAK DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZUBAIR HASSAN (OWNER)
(414) 762-5200
Entity
Organization
Contact information
Practice address
8241 S HOWELL AVE STE 100, OAK CREEK, WI 53154-8346
(414) 762-5200
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
06/21/2023
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