Provider Demographics
NPI:1730810458
Name:ALTURKI, HADIL GAMAL (DDS)
Entity type:Individual
Prefix:
First Name:HADIL
Middle Name:GAMAL
Last Name:ALTURKI
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 1:2333 CANIFF ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-2946
Mailing Address - Country:US
Mailing Address - Phone:313-310-9674
Mailing Address - Fax:
Practice Address - Street 1:16201 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2945
Practice Address - Country:US
Practice Address - Phone:313-451-8304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901601425122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist