Individual
DR. MOHAMED M MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S,M.S.D
Contact information
Practice address
2700 MLK JR BLVD, UNIVERSITY OF DETROIT MERCY ,SCHOOL OF DENTISTRY, DETROIT, MI 48208-2576
(313) 494-6669
Mailing address
2700 MLK JR BLVD, UNIVERSITY OF DETROIT MERCY ,SCHOOL OF DENTISTRY, DETROIT, MI 48208-2576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020110
MI
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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