Individual
FOWAD SHARIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1074 JACKSON XING, JACKSON, MI 49202-2039
(517) 841-0000
Mailing address
1465 WISTERIA DR, ANN ARBOR, MI 48104-4643
(734) 882-8686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600518
MI
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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