Individual
MRS. JALA ALATASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4139 BALDWIN RD, AUBURN HILLS, MI 48326-1225
(248) 630-7900
Mailing address
5425 LONGMEADOW RD, BLOOMFIELD HILLS, MI 48304-3663
(248) 930-0603
(248) 930-0603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602159APP24
MI
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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