Individual
AMMAR ISMAIL HOUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
620 W MAIN ST, SUITE B, STANTON, MI 48888-9239
(989) 831-5237
Mailing address
8856 KATHRYN DR, GREENVILLE, MI 48838-9786
(989) 831-5237
(989) 831-5522
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901017841
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901017841
HOUSSEIN LICENSE
MI
05
—
4552639
—
MI
Enumeration date
09/13/2005
Last updated
07/09/2007
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