Kishta-Derani, Maryam Ruby
Kishta-Derani, Maryam Ruby is an sole proprietor health care provider with primary practice located at 2815 S Pennsylvania Ave Suite 203, Lansing MI 48910-3496. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kishta-Derani, Maryam Ruby can be contacted via phone (517) 272-4150.Contact Information
Primary practice address
2815 S Pennsylvania Ave Suite 203
Lansing MI 48910-3496
Phone: (517) 272-4150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901019672 | Michigan |
Profile Details
| NPI number | 1407049810 |
|---|---|
| LBN Legal business name | Kishta-Derani, Maryam Ruby |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Aug 20th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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