Individual
JOSEPH ANTHONY SHIMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19189 W 10 MILE RD, SOUTHFIELD, MI 48075-2442
(248) 996-8756
Mailing address
19189 W 10 MILE RD, SOUTHFIELD, MI 48075-2442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601434
MI
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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