Fassel P.c.

NPI #1013631902 in Taylor, Michigan

Provider Information

NPI Number: 1013631902
Entity Type: Organization
Organization Name: Fassel P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 25721 GODDARD RD
City: Taylor
State: Michigan
ZIP Code: 48180-3974
Phone: (612) 735-9399

Authorized Official

Name: FATIMA SIDDIQUI, DDS
Title: PRESIDENT
Phone: (612) 735-9399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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