Organization
LOUAY MANSOUR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUAY MANSOUR DDS (OWNER)
(586) 445-2990
Entity
Organization
Contact information
Practice address
27845 GRATIOT AVENUE, ROSEVILLE, MI 48066
(586) 455-2990
Mailing address
27845 GRATOIT AVE., ROSEVILLE, MI 48066
(568) 445-2990
(586) 445-2991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
10/13/2020
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