Individual
IBRAHIM DAWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50503 GRATIOT AVE, CHESTERFIELD, MI 48051-3184
(586) 684-5020
Mailing address
11820 SEATON DR APT F4, STERLING HEIGHTS, MI 48312-5094
(616) 419-9250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022242
MI
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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