Maryam Kishta-Derani, D.D.S

NPI 1407049810 · on the registry since 2007 · sole proprietor

Practice

Address: 2815 S Pennsylvania Ave
Suite 203
Lansing, MI 48910
Phone: (517) 272-4150
Organisation at this address: Moc Trauma, Pc
Jason Cochran Do Pc
Daniel R Mesko Do Pc
J Wesley Mesko Md Pc
Urvish K Shah, Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan