Individual
ALI MUSTAPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15031 MICHIGAN AVE, DEARBORN, MI 48126-3443
(313) 582-3600
Mailing address
15031 MICHIGAN AVE, DEARBORN, MI 48126-3443
(313) 582-3600
(313) 582-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602671
MI
Other
Enumeration date
06/10/2025
Last updated
06/12/2025
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