Individual
MOHAMAD HASSAN ABDUL AZIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 N SAGINAW ST, FLINT, MI 48505-4452
(909) 636-1584
Mailing address
11 FRANCISCAN PL, POMONA, CA 91766-4867
(909) 636-1584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2952000741
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2018
Last updated
10/07/2020
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