Individual
DR. TIBA MOWAFAK TOKATLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
26400 W 12 MILE RD, SUITE#160, SOUTHFIELD, MI 48034-1700
(248) 356-8567
(248) 356-3442
Mailing address
26400 W 12 MILE RD, SUITE#160, SOUTHFIELD, MI 48034-1700
(248) 356-8567
(248) 356-3442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019710
MI
Other
Enumeration date
10/23/2007
Last updated
04/01/2008
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