Organization
HAIFA MANSOUR DDS,PC
Active
Other names
neighborhood family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAIFA KASHAT MANSOUR (OWNER)
(248) 582-8060
Entity
Organization
Contact information
Practice address
27753 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3477
(248) 582-8060
(248) 582-8062
Mailing address
27753 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3477
(248) 582-8060
(248) 582-8062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
08/22/2011
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