Individual
DR. ALVIN YOUSIF DABOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3213 ROCHESTER RD, ROYAL OAK, MI 48073-3553
(248) 629-1830
Mailing address
3213 ROCHESTER RD, ROYAL OAK, MI 48073-3553
(248) 629-1830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019855
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901019855
MI
Other
Enumeration date
10/28/2008
Last updated
08/18/2021
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