Provider Demographics
NPI:1609967405
Name:HARES PROPERTY MANAGEMENT CO
Entity Type:Organization
Organization Name:HARES PROPERTY MANAGEMENT CO
Other - Org Name:HARRIS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROUZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-871-2222
Mailing Address - Street 1:8721 JOSEPH CAMPAU ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3720
Mailing Address - Country:US
Mailing Address - Phone:313-871-2222
Mailing Address - Fax:313-871-2084
Practice Address - Street 1:8721 JOSEPH CAMPAU ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3720
Practice Address - Country:US
Practice Address - Phone:313-871-2222
Practice Address - Fax:313-871-2084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4317432Medicaid
MI4315634Medicaid