G Ghannam D D S
Dental Clinic/Center in Detroit, MI(View on Map)
Legal Business Name
G Ghannam D D S
NPI Number
1255508800
NPI Type
Organization
Enumeration Date
05/13/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
5705 W VERNOR HWY
5705 W VERNOR HWY
City
Detroit
Detroit
State
MI
MI
Postal Code
48209-2157
48209-2157
Country
US
US
Telephone Number
(313) 842-3770
(313) 842-3770
Authorized Official
Name
Ghanem Ghannam
Title or Position
SOLE OWNER
Telephone Number
(313) 842-3770
Identifiers
Identifier
1692476
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/29/2024
Provider Address
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