Individual
AYSAN NEZAMABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
623 COURTHOUSE DR, CHARLOTTE, MI 48813-1072
(517) 541-8157
Mailing address
623 COURTHOUSE DR, CHARLOTTE, MI 48813-1072
(517) 541-8157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602789
MI
Other
Enumeration date
07/01/2024
Last updated
07/23/2025
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