Individual
MRS. FATIN AWANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS PC
Contact information
Practice address
26400 W 12 MILE ROAD, SUITE 160, SOUTHFIELD, MI 48034
(248) 356-8567
(248) 356-3442
Mailing address
26400 W 12 MILE ROAD, SUITE 160, SOUTHFIELD, MI 48034
(248) 356-8567
(248) 356-3442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
290107338
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4376818
—
MI
Enumeration date
09/25/2006
Last updated
01/18/2017
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