Individual
BASSAM HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 WHITTAKER RD, YPSILANTI, MI 48197-9728
(586) 690-0969
Mailing address
1820 WHITTAKER RD, YPSILANTI, MI 48197-9728
(586) 690-0969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600220
MI
Other
Enumeration date
07/05/2019
Last updated
04/13/2022
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