Individual
ATHEER FAWZI-JASSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
26401 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1905
(586) 804-7171
Mailing address
1805 FORT ST, WYANDOTTE, MI 48192-3545
(734) 444-9662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600140
MI
Other
Enumeration date
06/27/2019
Last updated
01/07/2025
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