Individual
SEAN HADDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4216 24TH AVE STE 100, FORT GRATIOT, MI 48059-4083
(810) 984-8669
Mailing address
35888 CONNECTICUT DR, STERLING HEIGHTS, MI 48310-4936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602200
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2024
Last updated
06/10/2024
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