Individual
HANA GADALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6660
(313) 494-6666
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6660
(313) 494-6666
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
L443857
MI
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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