Individual
DEVI JANANI VIJAYA RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49701 GRAND RIVER AVE, WIXOM, MI 48393-3307
(947) 234-7259
Mailing address
6202 S TRAILWOODS DR, ANN ARBOR, MI 48103-2293
(248) 662-6104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600516
MI
Other
Enumeration date
06/03/2020
Last updated
10/07/2023
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