Individual
FARAH AHMAD NASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14639 FORD RD, DEARBORN, MI 48126-3173
(313) 582-1960
Mailing address
18947 VAN RD, LIVONIA, MI 48152-4703
(248) 802-5109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022258
MI
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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