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Dr. Mikaela Kofman, DMD
Oral and Maxillofacial Surgery (Dentist) in Detroit, Michigan
NPI 1942861612

Mikaela Kofman is a Oral and Maxillofacial Surgery (Dentist) based in Detroit, MI and is specialized in Oral and Maxillofacial Surgery. Mikaela Kofman practices in Detroit, MI and has the professional credentials of DMD. The NPI Number for Mikaela Kofman is 1942861612 and holds a License No. 1741998 (Michigan).

The current practice location address for Mikaela Kofman is 4201 Saint Antoine St, Detroit, MI and can be reached out via phone at 313-745-4697.

Location: 4201 Saint Antoine St, Detroit, MI, 48201-2750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942861612
Provider Name
Mikaela Kofman
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4201 Saint Antoine St, Detroit, MI, 48201-2750
Phone Number
313-745-4697
Fax Number
Provider Enumeration Date
06/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-745-4697
Fax Number
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-2153
Phone Number
313-745-4697
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1741998 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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