Prem Lata Misra, DMD
NPI #1396825915 in Garden City, Michigan
Provider Information
- NPI Number
- 1396825915
- Entity Type
- Individual
- Name
- Prem Lata Misra, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 17, 2006
- Last Updated
- May 13, 2008
Practice Location
- Address
- 28541 FORD RD
- City
- Garden City
- State
- Michigan
- ZIP Code
- 48135-2843
- Phone
- (734) 945-0026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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