Provider Demographics
NPI:1780854455
Name:ABED, SUSAN HAFIZ (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:HAFIZ
Last Name:ABED
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:11525 HIGHLAND RD
Mailing Address - Street 2:SUITE 22
Mailing Address - City:HARTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48353-2726
Mailing Address - Country:US
Mailing Address - Phone:810-632-5794
Mailing Address - Fax:810-632-5377
Practice Address - Street 1:11525 HIGHLAND RD
Practice Address - Street 2:SUITE 22
Practice Address - City:HARTLAND
Practice Address - State:MI
Practice Address - Zip Code:48353-2726
Practice Address - Country:US
Practice Address - Phone:810-632-5794
Practice Address - Fax:810-632-5377
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI29010153081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics