DR. Davren Dawisha, DMD

NPI #1588395495 in Hazel Park, Michigan

Provider Information

NPI Number: 1588395495
Entity Type: Individual
Name: DR. Davren Dawisha, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 21, 2022
Last Updated: Jun 21, 2022

Practice Location

Address: 23528 JOHN R RD
City: Hazel Park
State: Michigan
ZIP Code: 48030-1409
Phone: (248) 397-1165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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