Individual
HESHAM ELEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 CARLTON BLVD, JACKSON, MI 49203-1444
(517) 787-6776
Mailing address
37420 EMERALD FOREST DR, FARMINGTON HILLS, MI 48331-1182
(248) 408-9658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602319
MI
Other
Enumeration date
04/27/2024
Last updated
12/04/2024
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