Individual
DR. ARASH KHOSHNEVISZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
32316 5 MILE RD, LIVONIA, MI 48154-6109
(734) 523-8300
Mailing address
100 RIVERFRONT DR APT 1203, DETROIT, MI 48226-4538
(630) 946-4651
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901600594
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2017
Last updated
12/03/2020
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