Individual
DR. SABRINA IMRAN WADOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
853 FULTON ST E, GRAND RAPIDS, MI 49503-3561
(586) 214-7693
Mailing address
6688 FOREST VALLEY DR SE, GRAND RAPIDS, MI 49546-9201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022649
MI
1223G0001X
General Practice Dentistry
2901022649
MI
Other
Enumeration date
06/14/2018
Last updated
04/12/2021
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