Individual
DR. FAWAZ M AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32905 W 12 MILE RD STE 420, FARMINGTON HILLS, MI 48334-3346
(248) 553-4740
(248) 553-0645
Mailing address
3177 HEDGEWOOD LN, ROCHESTER HILLS, MI 48309-4510
(248) 553-4740
(248) 553-0645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4612512
—
MI
Enumeration date
02/27/2007
Last updated
12/20/2010
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