Individual
DR. HAIFA MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., P.C.
Contact information
Practice address
13967 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1319
(867) 886-4335
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
2901017025
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4642511
—
MI
01
—
979396
UNITED CONCORDIA
MI
Enumeration date
10/11/2006
Last updated
09/26/2024
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