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Individual

DR. KHADIJE HUSSEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29475 PLYMOUTH RD, LIVONIA, MI 48150-2112
(734) 237-5755
(734) 237-5756
Mailing address
29475 PLYMOUTH RD, LIVONIA, MI 48150-2112
(734) 237-5755
(734) 237-5756

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022644
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2901022644
MI
Enumeration date
08/24/2018
Last updated
08/24/2018
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