Individual
KYLE LOUIS BOUHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11479 HIGHLAND RD, HARTLAND, MI 48353-2737
(810) 632-9088
Mailing address
2216 GUTHRIE AVE, ROYAL OAK, MI 48067-3527
(810) 923-5674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020981
MI
Other
Enumeration date
06/02/2013
Last updated
06/02/2013
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