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Organization
HAIFA MANSOUR DDS,PC
Active
Organization
HAIFA MANSOUR DDS,PC
Active
Other names
neighborhood family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAIFA KASHAT MANSOUR (OWNER)
(248) 582-8060
Entity
Organization
Contact information
Practice address
27753 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3477
(248) 582-8060
(248) 582-8062
Mailing address
27753 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3477
(248) 582-8060
(248) 582-8062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
08/22/2011
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