Individual provider · Type 1 NPI
Haissam A. Kanaan, DDS, FRCD(C)
Oral and Maxillofacial Surgery (Dentist) · Detroit, MI
Practice location
Oral And Maxillofacial Surgery - Uhc 2F, 4201 St. Antoine Street
Detroit, MI 48201
Fax (313) 993-0079
Mailing address
4201 Saint Antoine St, Uhc 2F
Detroit, MI 48201-2153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901019136 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1932308566
Haissam A. Kanaan, DDS, FRCD(C)'s National Provider Identifier is 1932308566, issued on Jul 13, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Detroit, MI. The record was last updated on Feb 26, 2015.