Organization
ALL DENTAL 2 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHEER FAWZI-JASSIM DDS (OWNER/ DENTIST)
(619) 495-2493
Entity
Organization
Contact information
Practice address
19233 15 MILE RD, CLINTON TWP, MI 48035-2509
(313) 212-1418
Mailing address
19233 15 MILE RD, CLINTON TWP, MI 48035-2509
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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