Individual
DR. ADNAN A. KHAZAAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15031 MICHIGAN AVE, DEARBORN, MI 48126-3443
(313) 582-3600
Mailing address
15031 MICHIGAN AVE, DEARBORN, MI 48126-3443
(313) 582-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016118
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2862347
—
MI
Enumeration date
08/01/2006
Last updated
07/17/2020
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