Individual
DR. BRANDON SAM KHADDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
59041 GRATIOT AVE, NEW HAVEN, MI 48048-2057
(586) 749-3333
Mailing address
2564 LORENZO DR, STERLING HEIGHTS, MI 48314-4515
(586) 804-8118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601643
MI
Other
Enumeration date
05/22/2023
Last updated
02/25/2025
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