Provider Demographics
NPI:1104902741
Name:MURAD, LINDA JAMAL (DDS)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:JAMAL
Last Name:MURAD
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 1:5059 SPRING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-6716
Mailing Address - Country:US
Mailing Address - Phone:248-835-6737
Mailing Address - Fax:
Practice Address - Street 1:3531 JUNCTION ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48210-3007
Practice Address - Country:US
Practice Address - Phone:313-897-7155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010193601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice