Individual
DR. MOUSTAPHA ALI NASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15031 MICHIGAN AVE, DEARBORN, MI 48126-3443
(313) 582-3600
Mailing address
4601 CHOVIN ST, DEARBORN, MI 48126-4608
(313) 485-3079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601004
MI
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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