Individual
DR. DAVREN DAWISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23528 JOHN R RD, HAZEL PARK, MI 48030-1409
(248) 397-1165
Mailing address
6929 MAPLE CREEK BLVD, WEST BLOOMFIELD, MI 48322-4559
(248) 904-5124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601320
MI
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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