Individual
DR. MEREDITH COURTNEY ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11885 E 12 MILE RD, WARREN, MI 48093-3474
(586) 574-9800
(248) 547-2291
Mailing address
1736 PINEHURST LN, FLOSSMOOR, IL 60422-1965
(702) 355-8057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490276
—
MI
Enumeration date
11/01/2006
Last updated
08/01/2013
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