Organization
WIXOM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN BERRY DMD (DENTIST)
(248) 859-5300
Entity
Organization
Contact information
Practice address
49175 PONTIAC TRL, WIXOM, MI 48393-2580
(248) 859-5300
Mailing address
49175 PONTIAC TRL, WIXOM, MI 48393-2580
(248) 859-5300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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