# ZEENA J KAZANGY, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083861470
- **Authorized official:** MS. MARISSA CORRINE CERVERA (OFFICE MANAGER)
- **Authorized official phone:** (810) 227-5008

## Contact information

- **Practice address:** 6061 W. VERNOR HWY, DETROIT, MI 48209-2085
- **Practice address phone:** (313) 841-1010
- **Practice address fax:** (313) 841-4709
- **Mailing address:** 6061 W. VERNOR HWY, DETROIT, MI 48209-2085
- **Mailing address phone:** (313) 841-1010
- **Mailing address fax:** (313) 841-4709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 11/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3186292 | — | MI |
