Simon Mina Ghattas D.M.D., M.S.

NPI 1053549782 - Dentist - 122300000X

NPI Details
NPI 1053549782
Gender Male
Enumeration Date 07/01/2009
Last Updated 09/19/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
1460 WALTON BLVD
#208
ROCHESTER HILLS MI, 48309-1768, US
Phone (561) 317-4805
Fax
Business Location
1460 WALTON BLVD
#208
ROCHESTER HILLS MI, 48309-1768, US
Phone (561) 317-4805
Fax (248) 656-3147
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number 755
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According to our database, Dr. Simon Mina Ghattas D.M.D., M.S. NPI is 1053549782, taxonomy code is 122300000X and license number is 755, license state is located at Florida. Simon Mina Ghattas D.M.D., M.S. physically located at 1460 Walton Blvd, Rochester Hills MI, 48309-1768. NPI Number Simon Mina Ghattas D.M.D., M.S. has the Individual type.

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1053549782 NPI number is provided on an as is basis without warranty of any kind. 1053549782 is maintained by the National Plan & Provider Enumeration System. The contents of Simon Mina Ghattas D.M.D., M.S. are for informational purposes only.