Organization
CHILDRENS MOBILE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN OUEIS DDS (PRESIDENT)
(313) 404-1061
Entity
Organization
Contact information
Practice address
14710 W WARREN AVE, DEARBORN, MI 48126-1347
(313) 404-1061
Mailing address
14710 W WARREN AVE, DEARBORN, MI 48126-1347
(313) 404-1061
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19369
MI
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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