Basima Ykao-daman Dds | |
23528 John R. Rd. Hazel Partk MI 48030 | |
(248) 629-7540 | |
(248) 629-7541 |
Full Name | Basima Ykao-daman Dds |
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Speciality | Dentist |
Location | 23528 John R. Rd., Hazel Partk, Michigan |
Authorized Official Name and Position | Basima Ykao-daman (DENTIST) |
Authorized Official Contact | 2486297540 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Basima Ykao-daman Dds 23528 John R. Rd. Hazel Partk MI 48030 Ph: (248) 629-7540 | Basima Ykao-daman Dds 23528 John R. Rd. Hazel Partk MI 48030 Ph: (248) 629-7540 |
NPI Number | 1043320302 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 05/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043320302 | NPI | - | NPPES |
4612414 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901018747 (Michigan) | Primary |