Individual
HUSSIEN SAM BAYDOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24366 GRAND RIVER AVE, DETROIT, MI 48219-3098
(313) 535-2273
Mailing address
1454 MASON ST, DEARBORN, MI 48124-2859
(313) 999-0123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022593
MI
1223G0001X
General Practice Dentistry
Primary
2901022593
MI
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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