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Individual

JOMANA SHAYOTA KAMMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
30752 TELEGRAPH RD STE B, BINGHAM FARMS, MI 48025-4523
(248) 973-8102
Mailing address
30752 TELEGRAPH RD STE B, BINGHAM FARMS, MI 48025-4523
(248) 973-8102
(248) 973-8061

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022363
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306583943
MI
Enumeration date
08/30/2017
Last updated
06/10/2026
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