Individual
DR. MAYA SHANTIKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 N SAGINAW RD, MOUNT MORRIS, MI 48458-1648
(810) 687-5040
Mailing address
1301 ORLEANS ST, APARTMENT 1609, DETROIT, MI 48207-2907
(810) 687-5040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019717
MI
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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