Individual
DR. SAMAR MOKHAYESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
30060 23 MILE RD, CHESTERFIELD, MI 48047-5718
(586) 949-2240
Mailing address
52833 SEVEN OAKS DR, SHELBY TOWNSHIP, MI 48316-2992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28901017682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4576013
—
MI
Enumeration date
01/11/2007
Last updated
07/08/2007
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