Individual provider · NPI-1

Dr. Fawaz M Ahmed, dds

Dentist, General Practice · Farmington Hills, MI

NPI number1609903806
StatusActive
Last updated in NPPESDec 20, 2010

Details

NPI
1609903806
Entity type
Individual (NPI-1)
Name
Dr. Fawaz M Ahmed
Credential
dds
Sex
Male
Sole proprietor
No
Enumeration date
Feb 27, 2007
Last updated
Dec 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901018455MIYes

Practice location

32905 W 12 Mile Rd Ste 420
Farmington Hills, MI 48334-3346

Phone 248-553-4740 · Fax 248-553-0645

Mailing address

3177 Hedgewood Ln
Rochester Hills, MI 48309-4510

Phone 248-553-4740 · Fax 248-553-0645

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