Individual
MAHMOUD FARHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14639 FORD RD, DEARBORN, MI 48126-3173
(313) 460-7322
Mailing address
1371 TRADITION DR, CANTON, MI 48187-5810
(313) 460-7322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600939
MI
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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