Individual provider · NPI-1

Dr. Al Baraa Abdul Khalek, DDS

Dentist · Farmington Hills, MI

NPI number1740919968
StatusActive
Last updated in NPPESJun 14, 2022

Details

NPI
1740919968
Entity type
Individual (NPI-1)
Name
Dr. Al Baraa Abdul Khalek
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 6, 2022
Certification date
Jun 14, 2022
Last updated
Jun 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2901601355MIYes

Practice location

33966 W 8 Mile Rd Ste 104
Farmington Hills, MI 48335-5273

Phone 248-474-6434

Mailing address

26977 Havelock Dr
Dearborn Heights, MI 48127-3688

Phone 734-747-0569

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