Individual
JUSTIN MAZIN KAMMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6606
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022561
MI
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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