Individual
ELIAS HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2937 COBB PKWY SE STE 100, ATLANTA, GA 30339-3519
(770) 240-0328
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901600896
MI
1223E0200X
Endodontics
Primary
DN122827
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/02/2015
Last updated
08/02/2022
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