Organization
M MAGSOUDI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHROD MAGSOUDI DDS (PRESIDENT)
(586) 752-2211
Entity
Organization
Contact information
Practice address
229 NORTH BAILEY ST, ROMEO, MI 48065
(586) 752-2211
(586) 752-5974
Mailing address
229 NORTH BAILEY ST, ROMEO, MI 48065
(586) 752-2211
(586) 752-5974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15762
MI
Other
Enumeration date
02/27/2007
Last updated
06/17/2008
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