Individual provider · Type 1 NPI

Matthew Carbajal, DDS

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1275161754 Active

Practice location

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

Call (313) 494-6611 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD011158 (AZ)
Student in an Organized Health Care Education/Training Program Primary 390200000X2951000934 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275161754

Matthew Carbajal, DDS's National Provider Identifier is 1275161754, issued on Mar 30, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 23, 2023.