Organization
CHILDREN DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN OUEIS (PRESIDENT)
(313) 404-1061
Entity
Organization
Contact information
Practice address
31560 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 425-0600
Mailing address
45972 WINDRIDGE LN, CANTON, MI 48188-6223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901019369
MI
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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