Individual
CARLA ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39555 W 10 MILE RD, NOVI, MI 48375-2950
(248) 442-7305
Mailing address
39555 W 10 MILE RD, NOVI, MI 48375-2950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021274
MI
Other
Enumeration date
06/09/2014
Last updated
03/04/2015
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