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Organization

CHILDRENS DENTAL CARE OF DETROIT

Active
Other names
Children's Dental Care of Detroit
Organization subpart
No

Provider details

NPI number
Authorized official
HASSAN OUEIS DDS (OWNER)
(313) 262-6059
Entity
Organization

Contact information

Practice address
430 MACK AVE, DETROIT, MI 48201-2136
(313) 262-6059
(313) 262-6331
Mailing address
430 MACK AVE, DETROIT, MI 48201-2136
(313) 262-6059
(313) 262-6331

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386813244
MI
Enumeration date
05/13/2019
Last updated
01/05/2021
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