Individual
DR. SAHAR A FARDOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
26561 W 12 MILE RD, SUITE 105, SOUTHFIELD, MI 48034-1541
(248) 864-7400
(248) 864-7401
Mailing address
26561 W 12 MILE RD, SUITE 105, SOUTHFIELD, MI 48034-1541
(248) 864-7400
(248) 864-7401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020998
MI
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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