Organization
MA DENTAL PLLC
Active
Other names
Ma dental pllc
Organization subpart
No
Provider details
NPI number
Authorized official
MARWA JABER DDS (DENTIST)
(313) 977-0291
Entity
Organization
Contact information
Practice address
6501 GREENFIELD RD, DETROIT, MI 48228-4780
(313) 424-4470
(313) 281-2225
Mailing address
6501 GREENFIELD RD, DETROIT, MI 48228-4780
(313) 424-4470
(313) 281-2225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245600253
PERSONAL NOI
—
Enumeration date
06/02/2020
Last updated
06/02/2020
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