Individual
DR. HAISSAM A KANAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FRCD(C)
Contact information
Practice address
ORAL AND MAXILLOFACIAL SURGERY - UHC 2F, 4201 ST. ANTOINE STREET, DETROIT, MI 48201
(313) 745-4619
(313) 993-0079
Mailing address
4201 SAINT ANTOINE ST, UHC 2F, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901019136
MI
Other
Enumeration date
07/13/2007
Last updated
02/26/2015
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