Individual
MICHELLE ELIZABETH MUKHTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20307 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-5407
(248) 775-2358
Mailing address
140 CANTERBURY RD, BLOOMFIELD HILLS, MI 48304-2916
(248) 762-9365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5315269040
MI
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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