Individual
MAYA KHREIZAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
25147 W WARREN ST, DEARBORN HEIGHTS, MI 48127-2198
(313) 277-3000
Mailing address
6464 REUTER ST, DEARBORN, MI 48126-2221
(313) 289-3102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601336
MI
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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