Individual
ANDREW A AFSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
6112 MERLIN CT, MIDLAND, MI 48640-7358
(989) 839-9979
(989) 839-9553
Mailing address
6112 MERLIN CT, MIDLAND, MI 48640-7358
(989) 839-9979
(989) 839-9553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1946
ND
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901022525
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1946
DENTAL LICENSE
ND
05
—
41322
—
ND
Enumeration date
06/14/2006
Last updated
07/21/2022
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