Healthcare Provider Details

I. General information

NPI: 1285526806
Provider Name (Legal Business Name): RAGHAD DAOUD D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HAMLIN BLVD
INKSTER MI
48141-2206
US

IV. Provider business mailing address

1532 FRANKLIN ST APT 201
DETROIT MI
48207-4067
US

V. Phone/Fax

Practice location:
  • Phone: 313-561-5100
  • Fax:
Mailing address:
  • Phone: 517-940-2289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901602722
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: