Individual
DR. SHYAM PRASAD ARAVINDAKSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MDS
Contact information
Practice address
29427 RYAN RD, WARREN, MI 48092-2203
(586) 755-9340
(586) 755-9341
Mailing address
29427 RYAN RD, WARREN, MI 48092-2203
(586) 755-9340
(586) 755-9341
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901020544
MI
Other
Enumeration date
06/03/2008
Last updated
07/21/2022
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