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G Ghannam D D S
Dental Clinic/Center in Detroit, Michigan
NPI 1255508800

G Ghannam D D S is a Dental Clinic/Center based in Detroit, MI and is specialized in Dental. G Ghannam D D S practices in Detroit, MI. The NPI Number for G Ghannam D D S is 1255508800 and holds a License No. (Michigan).

The current practice location address for G Ghannam D D S is 5705 W Vernor Hwy, Detroit, MI and can be reached out via phone at 313-842-3770.

Location: 5705 W Vernor Hwy, Detroit, MI, 48209-2157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255508800
Provider Name
G Ghannam D D S
Credential
Provider Entity Type
Organization
Address
5705 W Vernor Hwy, Detroit, MI, 48209-2157
Phone Number
313-842-3770
Fax Number
Provider Enumeration Date
05/13/2008
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1692476 05 MI
institution
Provider Business Practice Location Address Details
Address
5705 W Vernor Hwy
City
Detroit
State
Michigan
Zip
48209-2157
Phone Number
313-842-3770
Fax Number
person
Provider Business Mailing Address Details
Address
5705 W Vernor Hwy
City
Detroit
State
Michigan
Zip
48209-2157
Phone Number
313-842-3770
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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