Individual
MONA BEYDOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N TELEGRAPH RD, DEARBORN, MI 48128-1658
(313) 982-7200
Mailing address
23204 LAWRENCE AVE, DEARBORN, MI 48128-1230
(313) 289-2894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601006
MI
1223G0001X
General Practice Dentistry
2901601006
MI
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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