Individual
DR. ALI HASSAN ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D..D.S
Contact information
Practice address
41920 WOLFE PASS, NOVI, MI 48377
(248) 520-0456
Mailing address
41920 WOLFE PASS, NOVI, MI 48377-2867
(248) 520-0456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020912
MI
Other
Enumeration date
03/17/2014
Last updated
03/23/2019
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