Individual
RANA ELSAMADOUNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37734 VAN DYKE AVE, STERLING HEIGHTS, MI 48312-1839
(586) 250-3990
Mailing address
47090 SHERSTONE DR, CANTON, MI 48188-2186
(313) 566-3956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602086
MI
Other
Enumeration date
05/29/2024
Last updated
09/19/2024
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