Individual
MR. DANI S KEJBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50 W BIG BEAVER RD, SUITE 100A, BLOOMFIELD HILLS, MI 48304
(248) 290-2900
(248) 290-2904
Mailing address
491 MYSTIC VALLEY, ROCHESTER HILLS, MI 48307
(248) 608-0877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811506
UNITED CONCORDIA
—
01
—
1956314870
BCBS OF MI
MI
05
—
4852546
—
MI
Enumeration date
10/06/2006
Last updated
07/08/2007
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