Individual
DAHA TOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
37595 7 MILE RD # 450, LIVONIA, MI 48152-1003
(734) 855-4474
(734) 855-4470
Mailing address
5342 WINDHAM HILL CT, WEST BLOOMFIELD, MI 48323-2782
(248) 738-8973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600962
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901600962
DENTAL LICENSE
MI
Enumeration date
06/25/2021
Last updated
07/09/2024
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