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Individual

TAMARA RABBAN KASMIKHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4852 LENOMAR CT, WEST BLOOMFIELD, MI 48322-2280
(248) 227-9239
Mailing address
4852 LENOMAR CT, WEST BLOOMFIELD, MI 48322-2280
(248) 227-9239

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021779
MI

Other

Enumeration date
02/11/2016
Last updated
01/21/2021
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