NPI 1043903925

Maya Soueidan, DDS

Practitioner General Practice Dentistry Plymouth, MI

Practice location

Address: 47299 Five Mile Rd, Plymouth, MI 48170-3764
Phone: (734) 459-3200
Mailing address: 450 N Mildred St, Dearborn, MI 48128-1729

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5315241561 (MI)

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Registry record

NPI: 1043903925
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2023
Record last updated: 27 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.