Individual
MAUREEN BISHAY GHATTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12500 E 12 MILE RD, WARREN, MI 48093-3500
(586) 573-6677
Mailing address
12500 E 12 MILE RD, WARREN, MI 48093-3500
(586) 573-6677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020552
MI
122300000X
Dentist
DN19543
FL
Other
Enumeration date
09/01/2011
Last updated
08/27/2012
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