| Ashtar Dentistry P.c. | |
|
23528 John R. Rd. Hazel Partk MI 48030 | |
| (248) 629-7540 | |
| (248) 629-7541 |
| Full Name | Ashtar Dentistry P.c. |
|---|---|
| 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 |
|---|---|
| Ashtar Dentistry P.c. 23528 John R. Rd. Hazel Partk MI 48030 Ph: (248) 629-7540 | Ashtar Dentistry P.c. 23528 John R. Rd. Hazel Partk MI 48030 Ph: (248) 629-7540 |
| NPI Number | 1043320302 |
|---|---|
| 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 |