Individual
AHMED MAHBOOB SYEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9583
(734) 847-3802
Mailing address
44888 FAIR OAKS DR, CANTON, MI 48187-5008
(513) 602-6646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020589
MI
Other
Enumeration date
03/08/2012
Last updated
04/05/2012
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