Individual
QOWSAY MUHARIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(313) 529-1059
Mailing address
14233 BARCLAY ST, DEARBORN, MI 48126-3573
(313) 529-1059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021654
MI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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