Individual
LAMA BANDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2532 MONROE ST, DEARBORN, MI 48124-3014
(313) 563-9090
Mailing address
2532 MONROE ST, DEARBORN, MI 48124-3014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021834
MI
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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