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NPI Code Detail

MEDICARE: YAMAN AL-HADIDI II DDS

MEDICARE:   YAMAN  AL-HADIDI II 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
11223G0001XGeneral Practice Dentistry1223G0001OH

General Provider Information

NPI Number : 1316205750
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAMAN AL-HADIDI II DDS
Provider Business Mailing Address
First Line : 3717 WARDS POINT DR
Second Line :
City : ORCHARD LAKE
State : MI
Zip : 48324-1662
Country : US
Telephone Number : 248-687-9347
Fax Number :
Provider Business Practice Location Address
First Line : 3717 WARDS POINT DR
Second Line :
City : ORCHARD LAKE
State : MI
Zip : 48324-1662
Country : US
Telephone Number : 248-687-9347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2012
Last Update Date : 04/23/2012

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Directions to “ YAMAN AL-HADIDI II DDS” Practice Location

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