Individual
GEORGE ZIYADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11180 GRATIOT AVE, DETROIT, MI 48213-1363
(313) 245-1780
Mailing address
11180 GRATIOT AVE, DETROIT, MI 48213-1363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016510
MI
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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