Individual
SANA MUSTAFA ALSAMARAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, MEDINN CLINIC C213,SPC 5831, ANN ARBOR, MI 48109-5831
(734) 936-5950
Mailing address
1500 E MEDICAL CENTER DR SPC 5831, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901022276
DENTAL LICENSE
MI
Enumeration date
06/08/2017
Last updated
06/08/2017
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