Provider Demographics
NPI:1033788435
Name:DABAJA, SEKNA TAREK (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEKNA
Middle Name:TAREK
Last Name:DABAJA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 LINCOLN LN APT 1311
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2993
Mailing Address - Country:US
Mailing Address - Phone:313-918-4211
Mailing Address - Fax:
Practice Address - Street 1:25631 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4434
Practice Address - Country:US
Practice Address - Phone:586-775-3312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901601030122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist