Organization
FADI ASSAF II D.D.S. PLLC
Active
Other names
Farmington hills dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADI ASSAF D.D.S. (OWNER)
(248) 702-6117
Entity
Organization
Contact information
Practice address
30330 W 12 MILE RD, SUITE B, FARMINGTON HILLS, MI 48334-3821
(248) 702-6117
(248) 702-6118
Mailing address
30330 W 12 MILE RD, SUITE B, FARMINGTON HILLS, MI 48334-3821
(248) 702-6117
(248) 702-6118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017447
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901017447
LICENSE NUMBER
MI
Enumeration date
02/17/2017
Last updated
02/17/2017
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