Organization
ALL DENTAL WARREN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHEER FAWZI-JASSIM DDS (OWNER)
(313) 212-1318
Entity
Organization
Contact information
Practice address
30101 HOOVER RD STE 1, WARREN, MI 48093-6572
(313) 212-1418
Mailing address
30101 HOOVER RD STE 1, WARREN, MI 48093-6572
(313) 212-1418
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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