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Malack Hammoud

Dentist in Dearborn, MI. Individual provider (NPI-1).

NPI number1619709698
StatusActive
Last updated in NPPESAug 17, 2024

Details

NPI
1619709698
Entity type
Individual (NPI-1)
Name
Malack Hammoud
Sex
Female
Sole proprietor
No
Enumeration date
Aug 17, 2024
Certification date
Aug 17, 2024
Last updated
Aug 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2901602233MIYes

Other names

  • Malak Hammoud (Other Name)

Practice location

4646 Woodworth St
Dearborn, MI 48126-3061

Phone 313-522-0207

Mailing address

4646 Woodworth St
Dearborn, MI 48126-3061

Phone 313-522-0207

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