Individual
MAHVEEN IMTIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3646 MOUNT ELLIOTT ST, DETROIT, MI 48207-2311
(313) 626-2400
Mailing address
3646 MOUNT ELLIOTT ST, DETROIT, MI 48207-2311
(313) 626-2400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601481
MI
Other
Enumeration date
09/02/2022
Last updated
10/07/2024
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