Individual
DR. SOUHEIL BALTAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1544 DUNSTON RD, CANTON, MI 48188
(734) 837-3179
Mailing address
1544 DUNSTON RD, CANTON, MI 48188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601802
MI
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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