GINA ADELLE DIAKONOV

DETROIT, MI
NPI1144694886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902015970)
Enumeration Date2015-11-18
Last Update Date2015-11-18
Business Address
Ms. GINA ADELLE DIAKONOV RDH, BSDH
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208-2576
Phone number: 313-494-6962
Mailing Address
Ms. GINA ADELLE DIAKONOV RDH, BSDH
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208-2576
Phone number: 313-494-6962
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