Organization
CHILDREN'S DENTAL CARE OF CANTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN S OUEIS DDS (PRESIDENT)
(313) 404-1061
Entity
Organization
Contact information
Practice address
5867 N LILLEY RD, CANTON, MI 48187-3623
(313) 404-1061
Mailing address
5867 N LILLEY RD, CANTON, MI 48187-3623
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901019369
MI
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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