Individual
DR. DIANE INGRAM HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12645 GRATIOT AVE, DETROIT, MI 48205-3952
(313) 527-1140
(313) 527-9022
Mailing address
19500 CUMBERLAND WAY, DETROIT, MI 48203-5501
(313) 892-8762
(313) 557-0277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13470
MI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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