Individual
DR. FATIMA MOHAMAD SHUKR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1074 JACKSON CROSSING, JACKSON, MI 49202
(517) 841-0000
Mailing address
7319 OAKMAN BLVD, DEARBORN, MI 48126-1526
(313) 461-7799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601253
MI
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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