Provider Demographics
NPI:1972683506
Name:BUDAYR, REEMA MOHAMMAD-HASHIM (DDS)
Entity Type:Individual
Prefix:DR
First Name:REEMA
Middle Name:MOHAMMAD-HASHIM
Last Name:BUDAYR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45620 ELMWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2462
Mailing Address - Country:US
Mailing Address - Phone:734-999-6840
Mailing Address - Fax:
Practice Address - Street 1:8127 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-9375
Practice Address - Country:US
Practice Address - Phone:734-999-6840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901017301122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist