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Individual

DR. AHMAD DEEBAJAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3144 JOHN R RD, SUITE 100, TROY, MI 48083-5936
(248) 510-1100
(248) 251-0073
Mailing address
3144 JOHN R RD, SUITE 100, TROY, MI 48083-5936

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020359
MI

Other

Enumeration date
05/25/2011
Last updated
02/29/2012
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