DR. Maya Shantikumar

NPI #1538358759 in Mount Morris, Michigan

Provider Information

NPI Number: 1538358759
Entity Type: Individual
Name: DR. Maya Shantikumar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 8326 N SAGINAW RD
City: Mount Morris
State: Michigan
ZIP Code: 48458-1648
Phone: (810) 687-5040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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