Individual
MAHA ZETOUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8012 SHELDON CENTER RD, CANTON, MI 48187-1800
(734) 354-9500
(734) 354-9502
Mailing address
8012 SHELDON CENTER RD, CANTON, MI 48187-1800
(734) 354-9500
(734) 354-9502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4911950
—
MI
05
—
4976605
—
MI
01
—
D801039
BCBS
MI
Enumeration date
12/13/2006
Last updated
07/08/2007
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