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Individual

DR. AJITH RENGARAJAN MANIPALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
32280 FIVE MILE RD, LIVONIA, MI 48154-6112
(734) 425-7010
Mailing address
4151 17 MILE RD STE F, STERLING HEIGHTS, MI 48310-6866
(586) 979-3200
(586) 979-3226

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601769
MI

Other

Enumeration date
06/08/2023
Last updated
12/18/2025
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