Individual
MARIAH MADISON DEMELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
1611 MICHIGAN AVE UNIT 322, DETROIT, MI 48216-2318
(519) 566-9151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602568
MI
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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