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1407049810
MARYAM RUBY KISHTA-DERANI
LANSING, MI
NPI
1407049810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901019672)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
Dr. MARYAM RUBY KISHTA-DERANI D.D.S.
2815 S PENNSYLVANIA AVE SUITE 203
LANSING, MI 48910-3496
Phone number: 517-272-4150
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Mailing Address
Dr. MARYAM RUBY KISHTA-DERANI D.D.S.
6633 WESTWOOD CT
WEST BLOOMFIELD, MI 48322-1371
Phone number: 248-408-3136
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