Individual
DR. GHABI A. KASPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 876-4806
(248) 546-2157
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0015677
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901015677
MI
1223X2210X
Orofacial Pain Dentistry
0015677
MI
1223X2210X
Orofacial Pain Dentistry
Primary
2901015677
MI
Other
Enumeration date
07/14/2006
Last updated
08/08/2023
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