Individual
DR. AMRUTA MAHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 E 12 MILE RD, WARREN, MI 48092-5667
(586) 573-7334
Mailing address
1327 S MAIN ST, ROYAL OAK, MI 48067-3267
(615) 957-7554
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901022145
MI
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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