Individual
DR. RAYAN M AL EDREESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6700
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2952000770
MI
1223P0300X
Periodontics
DL13096
MA
Other
Enumeration date
03/28/2017
Last updated
09/27/2021
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