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Individual

DR. MIRIAM KNIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
25882 ORCHARD LAKE RD STE 105, FARMINGTON HILLS, MI 48336-1294
(248) 442-6600
(248) 564-0946
Mailing address
25882 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-1292

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019357
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4917560
MI
Enumeration date
10/20/2006
Last updated
02/24/2011
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