Organization
HAYTHAM FARES, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ROBERTS (RECEPTIONIST)
(313) 561-7070
Entity
Organization
Contact information
Practice address
22190 GARRISON ST STE 200, DEARBORN, MI 48124-2235
(313) 561-7070
(313) 561-0686
Mailing address
22190 GARRISON ST STE 200, DEARBORN, MI 48124-2235
(313) 561-7070
(313) 561-7070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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