Individual
OMAR WAJEEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35521 23 MILE RD, NEW BALTIMORE, MI 48047-3603
(586) 779-0150
Mailing address
35521 23 MILE RD, NEW BALTIMORE, MI 48047-3603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015936
MI
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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