Individual
RUSHIL RAJIV DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2799 W GRAND BLVD STE 3A, DETROIT, MI 48202-2608
(833) 663-7874
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(833) 663-7874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1857103
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901601967
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901601967
MI
Other
Enumeration date
11/12/2015
Last updated
11/14/2023
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