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Organization

RIVERVIEW PEDIATRIC DENTAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HASSAN OUEIS DDS (OWNER)
(313) 404-1061
Entity
Organization

Contact information

Practice address
14525 SIBLEY RD STE 2, RIVERVIEW, MI 48193-7756
(313) 404-1061
(734) 667-1655
Mailing address
45972 WINDRIDGE LN, CANTON, MI 48188-6223
(313) 404-1061
(734) 667-1655

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
01/05/2021
Last updated
01/05/2021
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