Individual
DR. MAHMOUD FARHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18590 OUTER DR, DEARBORN, MI 48128
(313) 406-9612
Mailing address
18590 OUTER DR, DEARBORN, MI 48128-1872
(313) 406-9612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022557
MI
Other
Enumeration date
05/17/2018
Last updated
05/25/2019
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