Individual provider · Type 1 NPI

Maria Al Ismail

Pediatric Dentistry · Detroit, MI

NPI number 1063824464 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Call (313) 494-6685 Map

Mailing address

50136 Woodford Dr
Canton, MI 48188-2863

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDF11463 (MA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X2901601028 (MI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1063824464

Maria Al Ismail's National Provider Identifier is 1063824464, issued on May 20, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Detroit, MI. The record was last updated on Sep 2, 2021.