Individual provider · Type 1 NPI

Mikaela Kofman, DMD

Oral and Maxillofacial Surgery (Dentist) · Detroit, MI

NPI number 1942861612 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Call (313) 745-4697 Map

Mailing address

3150 Woodward Ave Apt 402
Detroit, MI 48201-2750

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X1741998 (MI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901600522 (MI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1942861612

Mikaela Kofman, DMD's National Provider Identifier is 1942861612, issued on Jun 24, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Detroit, MI. The record was last updated on Aug 23, 2021.