Individual
DR. MEHAK GUL HAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7310 WALTON ST, ROCKFORD, IL 61108-4614
(815) 395-5555
Mailing address
6583 WHISPERING WOODS DR, WEST BLOOMFIELD, MI 48322-5201
(248) 978-4358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034104
IL
122300000X
Dentist
2901601611
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2023
Last updated
03/13/2023
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