Individual
MINA GENDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2721 SWAN CV SE APT 301, KENTWOOD, MI 49512-9048
(774) 922-4318
Mailing address
2721 SWAN CV SE APT 301, KENTWOOD, MI 49512-9048
(774) 922-4318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021323
MI
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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