Individual
MS. NASREEN FUAD A AKBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.D.S
Contact information
Practice address
2700 MARTIN LUTHER KING JR. BLVD, DETROIT, MI 48208
(313) 494-6611
(617) 636-0310
Mailing address
2700 MARTIN LUTHER KING JR. BLVD, DETROIT, MI 48208
(313) 494-6611
(617) 636-0310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2952000836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2952000836
DENTAL LICENSE
MI
01
—
5315244562
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
07/08/2019
Last updated
10/05/2023
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