Individual
BAYLA TARA BAHT ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9544 BRACE ST APT 103, DETROIT, MI 48228-1439
(313) 505-8726
Mailing address
9544 BRACE ST APT 103, DETROIT, MI 48228-1439
(313) 505-8726
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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