Individual
FADI HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14100 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1322
(586) 566-2000
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-3917
(586) 566-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021462
MI
Other
Enumeration date
03/02/2015
Last updated
11/04/2016
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