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Provider Information for 1629163985



DR. ZAREENA BANU D.D.S.

Gender: FEMALE

Individual NPI: 1629163985

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1629163985
Enumeration Date 2006-10-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 23800 ORCHARD LAKE RD STE. 106
FARMINGTON HILLS, MI 48336-2560
United States

Phone: 248-755-5700 | Fax: 248-471-7383
View Map External Link
Primary Practice Address 23800 ORCHARD LAKE RD STE. 106
FARMINGTON HILLS, MI 48336-2560
United States

Phone: 248-755-5700 | Fax: 248-471-7383
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice MI 2901019422