Individual
DUAA SEBLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 44TH ST SE, KENTWOOD, MI 49508-4651
(616) 532-9070
Mailing address
1500 44TH ST SE, KENTWOOD, MI 49508-4651
(616) 532-9070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602203
MI
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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