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Provider Information for 1205966827

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DR. CHARLES SAAD CHOUEIRY DDS

Gender: MALE

Individual NPI: 1205966827

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1205966827
Enumeration Date 2007-03-06
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 418 N CENTER ST
NORTHVILLE, MI 48167-1283
United States

Phone: 248-349-3636 | Fax: 248-349-7014
View Map External Link
Primary Practice Address 418 N CENTER ST
NORTHVILLE, MI 48167-1283
United States

Phone: 248-349-3636 | Fax: 248-349-7014
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice MI 2901019001