Individual
ENNIS MALIK BEDAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
1500 E. MEDICAL CENTER DR., MED INN C213A, ANN ARBOR, MI 48109
(734) 936-5950
(734) 232-5015
Mailing address
1500 E. MEDICAL CENTER DR., TOWSLEY CENTER G1218, ANN ARBOR, MI 48109-5222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2952000370
MI
Other
Enumeration date
09/14/2017
Last updated
09/25/2019
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