Individual
AISHA ABDUL-LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15510 LIVERNOIS, DETROIT, MI 48238
(313) 863-2800
Mailing address
18370 WINWOOD AVE, BROWNSTOWN, MI 48193-8266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019291
MI
Other
Enumeration date
01/04/2007
Last updated
12/19/2011
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