Provider Demographics
NPI:1467144402
Name:AL-KUSHALY, ZAINAB Q (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:Q
Last Name:AL-KUSHALY
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 1:326 CENTRALIA ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3740
Mailing Address - Country:US
Mailing Address - Phone:248-252-6011
Mailing Address - Fax:
Practice Address - Street 1:6755 MERRIMAN RD STE 1
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1978
Practice Address - Country:US
Practice Address - Phone:734-884-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901601732122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist