Organization
HAPPY TOOTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIN ASMER AWANIS D.D.S.P.C (GENERAL DENTIST)
(248) 219-5863
Entity
Organization
Contact information
Practice address
31207 RYAN RD, WARREN, MI 48092-3761
(586) 553-9399
Mailing address
31207 RYAN RD, WARREN, MI 48092-3761
(586) 553-9399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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