Individual
DR. KISHAWN OLASUPO KOLE-JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1799 E GRAND BLVD, DETROIT, MI 48211-3145
(313) 282-5651
Mailing address
PO BOX 2879, DETROIT, MI 48202-0879
(313) 282-5651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901019444
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4935200
—
MI
Enumeration date
11/21/2006
Last updated
09/30/2022
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