Individual
DR. KHALID MANZOOR AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
12967 NORTHLINE RD, SOUTHGATE, MI 48195-1111
(734) 285-2900
(734) 285-5863
Mailing address
12967 NORTHLINE ROAD, SOUTHGATE, MI 48195-1111
(734) 285-2900
(734) 285-5863
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15656
MI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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