Individual
THAMYRYZ RAFAELA ALMEIDA SIMOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(317) 551-0442
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(317) 551-0442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2952000873
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2952000873
MI
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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