Individual
DEMA MAHJOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8185 HOLLY RD, GRAND BLANC, MI 48439-2444
(810) 695-0842
Mailing address
3496 HERON RIDGE DR, ROCHESTER HILLS, MI 48309-4520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901600309
MI
1223G0001X
General Practice Dentistry
Primary
40239
TX
Other
Enumeration date
08/01/2019
Last updated
01/18/2024
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