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Maria Al Ismail
Pediatric Dentist in Detroit, Michigan
NPI 1063824464

Maria Al Ismail is a Pediatric Dentist based in Canton, MI and is specialized in Pediatric Dentistry. Maria Al Ismail practices in Detroit, MI. The NPI Number for Maria Al Ismail is 1063824464 and holds a License No. DF11463 (Michigan).

The current practice location address for Maria Al Ismail is 2700 Martin Luther King Jr Blvd, Detroit, MI and can be reached out via phone at 313-494-6685.

Location: 2700 Martin Luther King Jr Blvd, Detroit, MI, 48188-2863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063824464
Provider Name
Maria Al Ismail
Credential
Provider Entity Type
Individual
Gender
Female
Address
2700 Martin Luther King Jr Blvd, Detroit, MI, 48188-2863
Phone Number
313-494-6685
Fax Number
Provider Enumeration Date
05/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2700 Martin Luther King Jr Blvd
City
Detroit
State
Michigan
Zip
48208-2576
Phone Number
313-494-6685
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Martin Luther King Jr Blvd
City
Detroit
State
Michigan
Zip
48208-2576
Phone Number
313-494-6685
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DF11463 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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