Aisha Abdul-Latif
Dentist, General Practice in Detroit, MI. Individual provider (NPI-1).
NPI number1932256716
StatusActive
Last updated in NPPESDec 19, 2011
Details
- NPI
- 1932256716
- Entity type
- Individual (NPI-1)
- Name
- Aisha Abdul-Latif
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Dec 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901019291 | MI | Yes |
Practice location
15510 LivernoisDetroit, MI 48238
Phone 313-863-2800
Mailing address
18370 Winwood AveBrownstown, MI 48193-8266
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