Provider Demographics
NPI:1225131881
Name:KARMO, EVA A (DDS)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:A
Last Name:KARMO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4607 W. VERNOR HWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48209
Mailing Address - Country:US
Mailing Address - Phone:313-554-3300
Mailing Address - Fax:313-554-3303
Practice Address - Street 1:4607 W. VERNOR HWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48209
Practice Address - Country:US
Practice Address - Phone:313-554-3300
Practice Address - Fax:313-554-3303
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010178811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice