Organization
DAWLAT G. HASSO, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWLAT HASSO DDS (DENTIST)
(248) 379-3093
Entity
Organization
Contact information
Practice address
4139 BALDWIN RD, AUBURN HILLS, MI 48326-1225
(248) 379-3093
Mailing address
6323 GLYNDEBOURNE DR, TROY, MI 48098-2212
(248) 379-3093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4485840
—
MI
Enumeration date
06/13/2008
Last updated
09/15/2014
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