NPI 1023414240

Hana Gadalla

Practitioner Periodontics Detroit, MI

Practice location

Address: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576
Phone: (313) 494-6660
Fax: (313) 494-6666

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence L443857 (MI)

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Registry record

NPI: 1023414240
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2014
Record last updated: 16 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.