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Individual

SHOAA MUQTADIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1658 MIDDLEBELT RD, GARDEN CITY, MI 48135-2879
(734) 772-0190
Mailing address
39086 CHESHIRE DR, NORTHVILLE, MI 48167-9174
(248) 797-0572

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022155
MI

Other

Enumeration date
09/19/2011
Last updated
04/18/2017
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