Male or Other

Matthew Carbajal DDS

Student in an Organized Health Care Education/Training Program in Detroit, MI(View on Map)

Full Name

Matthew Carbajal DDS

NPI Number

1275161754

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/30/2020

Specialties

(Taxonomies)

Licenses

State

Arizona
Michigan

License Number

D011158
2951000934

Contact
Information

Purpose

Mailing
Location

Address

2700 MARTIN LUTHER KING JR BLVD
2700 MARTIN LUTHER KING JR BLVD

City

Detroit
Detroit

State

MI
MI

Postal Code

48208-2576
48208-2576

Country

US
US

Telephone Number

N/A
(313) 494-6611

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

Data last updated by provider on 06/23/2023

Provider Address

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