Provider Demographics
NPI:1427135383
Name:GHARIB, CLAUDE JEAN (DDS)
Entity type:Individual
Prefix:MS
First Name:CLAUDE
Middle Name:JEAN
Last Name:GHARIB
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 1:2412 MELDRUM RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N8W4E8
Mailing Address - Country:CA
Mailing Address - Phone:519-945-0977
Mailing Address - Fax:
Practice Address - Street 1:1269 W 13 MILE RD
Practice Address - Street 2:
Practice Address - City:MADISON HGTS
Practice Address - State:MI
Practice Address - Zip Code:48071
Practice Address - Country:US
Practice Address - Phone:248-588-8105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019434122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist