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Individual
SOPHIA ELMURADI
Active
Individual
SOPHIA ELMURADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S, MS, DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901023146
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
390200000X
PA
Other
Enumeration date
08/08/2014
Last updated
11/08/2022
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