Provider Demographics
NPI:1295461440
Name:KARASHIMA, MOMOKO (DSS)
Entity type:Individual
Prefix:
First Name:MOMOKO
Middle Name:
Last Name:KARASHIMA
Suffix:
Gender:F
Credentials:DSS
Other - Prefix:
Other - First Name:MOMOKO
Other - Middle Name:
Other - Last Name:HARADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:45823 BRISTOL CIR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3901
Mailing Address - Country:US
Mailing Address - Phone:248-826-3895
Mailing Address - Fax:
Practice Address - Street 1:44633 JOY RD STE 300
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-1733
Practice Address - Country:US
Practice Address - Phone:734-454-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29016027321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics