Individual
DR. MICHAEL RICHARD ABOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16128 15 MILE, SUITE 4, FRASER, MI 48026
(586) 206-6145
Mailing address
16128 15 MILE, SUITE 4, FRASER, MI 48026
(586) 206-6145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124814788
—
MI
Enumeration date
08/08/2008
Last updated
08/08/2008
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