Individual
DR. KAMRAN EBADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 UNION LAKE RD STE 130, COMMERCE TOWNSHIP, MI 48382-3588
(248) 363-3600
Mailing address
2600 UNION LAKE RD SUITE 130, COMMERCE, MI 48382
(248) 363-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16120
MI
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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