Individual
EMAN BASHIR. A KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6615
Mailing address
2920 NORMANDY, WINDSOR, ZZ - FOREIGN COUNTRIES N9H 2-P2
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27783
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2952000851
MI
Other
Enumeration date
05/24/2024
Last updated
08/25/2024
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