Individual
ANTONELA DHAMKO LARASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
451 W LINCOLN AVE, MADISON HEIGHTS, MI 48071-3907
(774) 239-3972
Mailing address
451 W LINCOLN AVE, MADISON HEIGHTS, MI 48071-3907
(248) 542-8001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021037
MI
Other
Enumeration date
08/01/2013
Last updated
06/07/2016
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