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Individual

DR. AHMAD A BEYDOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10033 VERNOR HWY, DEARBORN, MI 48120-1513
(313) 843-6530
(313) 843-1410
Mailing address
10033 VERNOR HWY, DEARBORN, MI 48120-1513
(313) 843-6530
(313) 843-1410

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29-01-016362
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4881109
MI
Enumeration date
08/28/2006
Last updated
07/08/2007
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