Individual
ABDUL GHANI FAHD MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12871 E JEFFERSON AVE, STE. C, DETROIT, MI 48215-2754
(313) 822-4200
Mailing address
23800 ORCHARD LAKE RD, STE. 106, FARMINGTON HILLS, MI 48336-2560
(248) 755-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022051
MI
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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