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Individual

NIVINE DUGHAYLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2245 WILLOW POND BLVD, SYLVANIA, OH 43560-8915
(313) 312-3205
Mailing address
42126 WOODCREEK LN, CANTON, MI 48188-2615

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901023194
MI
1223G0001X
General Practice Dentistry
2901023194
MI
1223G0001X
General Practice Dentistry
Primary
30025986
OH

Other

Enumeration date
05/07/2019
Last updated
10/11/2021
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