Individual
DR. SABAH LILLIAN GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
31700 W 12 MILE RD STE 103, FARMINGTON HILLS, MI 48334-4460
(248) 891-8515
(248) 573-0233
Mailing address
8641 SHADDICK ST, DEARBORN, MI 48126-4702
(313) 213-2505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29-1-21527
MI
Other
Enumeration date
07/08/2015
Last updated
07/21/2022
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