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Individual

DIORA CHRISTINA JOUJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1665 W 12 MILE RD, BERKLEY, MI 48072-2121
(485) 547-7700
(248) 547-6054
Mailing address
1665 W 12 MILE RD, BERKLEY, MI 48072-2121
(248) 547-7700

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022173
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710378211
MI
Enumeration date
02/05/2015
Last updated
07/16/2020
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