Individual
DR. HADI KHAZAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
50154 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-3136
(586) 731-9050
Mailing address
217 S BEECH DALY ST, DEARBORN HEIGHTS, MI 48125-1079
(313) 460-1881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.025831
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901600195
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2019
Last updated
07/15/2024
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