Organization
CHILDREN'S DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN SAMI OUEIS D.D.S (MEMBER)
(313) 404-1061
Entity
Organization
Contact information
Practice address
14710 W WARREN AVE, DEARBORN, MI 48126-1347
(313) 404-1061
Mailing address
14710 W WARREN AVE, DEARBORN, MI 48126-1347
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901019369
MI
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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