| Adnan Khazaal Dds Pc | |
|
15031 Michigan Ave Dearborn MI 48126-3443 | |
| (313) 582-3600 | |
| Not Available |
| Full Name | Adnan Khazaal Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 15031 Michigan Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Adnan A Khazaal (OWNER) |
| Authorized Official Contact | 3135823600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adnan Khazaal Dds Pc 15031 Michigan Ave Dearborn MI 48126-3443 Ph: () - | Adnan Khazaal Dds Pc 15031 Michigan Ave Dearborn MI 48126-3443 Ph: (313) 582-3600 |
| NPI Number | 1891248209 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Medicare PECOS PAC ID | 0042590457 |
|---|---|
| Medicare Enrollment ID | O20180115000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891248209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Adnan Khazaal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932115490 PECOS PAC ID: 8022398437 Enrollment ID: I20180115000220 |
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