Individual
DR. OMAR MARIO MASABNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S., D.D.S., M.S.
Contact information
Practice address
6803 DIXIE HWY, VILLAGE OF CLARKSTON, MI 48346
(248) 625-1721
Mailing address
6803 DIXIE HWY, VILLAGE OF CLARKSTON, MI 48346
(248) 625-1721
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901600593
MI
Other
Enumeration date
05/11/2017
Last updated
10/02/2024
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