Organization
DIAMOND SMILES DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA AKPABIO DDS (OWNER/DENTIST)
(586) 330-9012
Entity
Organization
Contact information
Practice address
13334 E JEFFERSON AVE, DETROIT, MI 48215-2719
(586) 330-9012
Mailing address
13334 E JEFFERSON AVE, DETROIT, MI 48215-2719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497049316
INDIVIDUAL NPI
—
Enumeration date
10/11/2018
Last updated
10/11/2018
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