Individual
MARYSOUL MOUSA-AQRAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 ASPENWOOD DR, STERLING HEIGHTS, MI 48314-2945
(586) 277-2921
Mailing address
4777 ASPENWOOD DR, STERLING HEIGHTS, MI 48314-2945
(586) 277-2921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601480
MI
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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