MEDICARE: DR. ZEINAB SOBH ABBAS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901022604	MI

General Provider Information

NPI Number	:	1063903375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZEINAB SOBH ABBAS DDS

Provider Business Mailing Address
First Line	:	15602 DORCHESTER CT
Second Line	:
City	:	NORTHVILLE
State	:	MI
Zip	:	48168-8478
Country	:	US
Telephone Number	:	313-600-0248
Fax Number	:

Provider Business Practice Location Address
First Line	:	24415 W WARREN ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2223
Country	:	US
Telephone Number	:	313-278-4470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	02/14/2023

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