Male or Other

Dr. Paul A. Agyekum DDS

General Practice Dentistry in Detroit, MI(View on Map)

Full Name

Dr. Paul A Agyekum DDS

NPI Number

1285688531

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/20/2006

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

12292

Contact
Information

Purpose

Mailing
Location

Address

2931 RAMBLING WAY
13800 LIVERNOIS AVE

City

Bloomfield Hills
Detroit

State

MI
MI

Postal Code

48302-1049
48238-4510

Country

US
US

Telephone Number

(248) 338-7120
(313) 491-2200

Identifiers

Identifier

3106916
3130288

Identifier State

MI
MI

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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