Individual
DR. AHMAD I SHANNIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18901 W WARREN AVE, DETROIT, MI 48228-3311
(313) 271-4500
(313) 271-4545
Mailing address
650 N GULLEY RD, DEARBORN, MI 48128-1502
(313) 563-5525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4137461
—
MI
Enumeration date
09/14/2006
Last updated
03/01/2012
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