Diakonov, Gina Adelle

Diakonov, Gina Adelle is an individual health care provider with primary practice located at 2700 Martin Luther King Jr Blvd , Detroit MI 48208-2576. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Diakonov, Gina Adelle can be contacted via phone (313) 494-6962.

Contact Information

Primary practice address
2700 Martin Luther King Jr Blvd Detroit MI 48208-2576
Phone: (313) 494-6962
Fax: (313) 494-6709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902015970 Michigan

Profile Details

NPI number 1144694886
LBN Legal business name Diakonov, Gina Adelle
Credentials RDH, BSDH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2015
Last updated Nov 18th, 2015 - about 10 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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