Individual
DINA ELHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N TELEGRAPH RD, DEARBORN, MI 48128-1619
(313) 563-6601
Mailing address
430 N TELEGRAPH RD, DEARBORN, MI 48128-1619
(313) 563-6601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021238
MI
Other
Enumeration date
06/04/2014
Last updated
03/25/2015
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