Individual provider · Type 1 NPI

Maryam Ruby Kishta-Derani, DDS

Dentist · Lansing, MI

NPI number 1407049810 Active

Practice location

2815 S Pennsylvania Ave, Suite 203
Lansing, MI 48910-3496

Call (517) 272-4150 Map

Mailing address

6633 Westwood Ct
West Bloomfield, MI 48322-1371

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901019672 (MI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1407049810

Maryam Ruby Kishta-Derani, DDS's National Provider Identifier is 1407049810, issued on Aug 20, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lansing, MI. The record was last updated on Aug 20, 2007.