Organization
CITY OF DETROIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANZONI ASABIGI (GENERAL MANAGER, COMMUNITY HEALTH)
(313) 876-4000
Entity
Organization
Contact information
Practice address
1151 TAYLOR ST, 323 C, DETROIT, MI 48202-1732
(313) 876-4307
(313) 876-0475
Mailing address
1151 TAYLOR ST, 323 C, DETROIT, MI 48202-1732
(313) 876-4307
(313) 876-0475
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445991
—
MI
Enumeration date
05/24/2010
Last updated
06/08/2017
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