Individual
MIDHAT ASFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 745-4095
Mailing address
24327 HOOVER CT APT 1832, FARMINGTON HILLS, MI 48335-2179
(917) 972-1735
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2901022552
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
02/18/2021
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