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Individual

MUSAWIR YASIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
13874 GRAND RIVER AVE, DETROIT, MI 48227-3123
(313) 834-4900
Mailing address
2105 E BIG BEAVER RD APT 308, TROY, MI 48083-2598
(732) 986-6399

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02901000
NJ
1223G0001X
General Practice Dentistry
Primary
2901602762
MI
390200000X
Student in an Organized Health Care Education/Training Program
2901602762
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/19/2021
Last updated
06/17/2026
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