Individual
BANA MOUREIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11250 E 13 MILE RD STE 3, WARREN, MI 48093-2597
(586) 574-9500
Mailing address
2414 ELMDALE RD, UNIVERSITY HEIGHTS, OH 44118-4647
(352) 540-5232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025119
OH
Other
Enumeration date
08/17/2017
Last updated
08/10/2021
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