Individual
HASSAN MAZLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 W LAKE LANSING RD, UNIT 200, EAST LANSING, MI 48823-4129
(313) 888-6188
Mailing address
26439 SIMS ST, DEARBORN HEIGHTS, MI 48127-4129
(313) 888-6188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601787
MI
Other
Enumeration date
12/15/2022
Last updated
06/26/2023
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