Individual
DR. ASMA ABDULRAZZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1509 WASHINGTON ST, STE D, MIDLAND, MI 48640-5612
(989) 837-9740
Mailing address
978 CRAIG HILL RD, MOUNT PLEASANT, MI 48858-9293
(810) 247-0921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19158
DELTA DENTAL
MI
01
—
2901019158
BLUE CROSS BLUE SHIELD ID
MI
05
—
4795083
—
MI
01
—
D191580
BCBS PIN
MI
Enumeration date
11/16/2006
Last updated
03/07/2023
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