Individual
NOUR MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21427 GRAND RIVER AVE, DETROIT, MI 48219-3896
(313) 412-2100
Mailing address
22832 S BROOKSIDE DR, DEARBORN HEIGHTS, MI 48125-2327
(313) 442-2490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601424
MI
Other
Enumeration date
10/03/2022
Last updated
10/04/2022
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