Organization
FACIAL PAIN AND SLEEP CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHABI A. KASPO DDS (OWNER)
(248) 519-1100
Entity
Organization
Contact information
Practice address
3144 JOHN R RD, SUITE 100, TROY, MI 48083
(248) 519-1100
Mailing address
3144 JOHN R RD, SUITE 100, TROY, MI 48083
(248) 519-1100
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1915636352
BCBSM
MI
Enumeration date
10/01/2007
Last updated
11/27/2013
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