Individual provider · NPI-1

Noor Al Mansi, DMD

Dentist, General Practice · Ann Arbor, MI

NPI number1235624792
StatusActive
Last updated in NPPESJun 27, 2018

Details

NPI
1235624792
Entity type
Individual (NPI-1)
Name
Noor Al Mansi
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 27, 2018
Last updated
Jun 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901022689MIYes

Practice location

1500 E Medical Center Dr Spc 5831
Ann Arbor, MI 48109-5000

Phone 770-364-6007

Mailing address

8073 Hazelton St
Dearborn Heights, MI 48127-1546

Phone 770-364-6007

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