Provider Demographics
NPI:1538908918
Name:BIJA, GERALDINA (DDS)
Entity type:Individual
Prefix:
First Name:GERALDINA
Middle Name:
Last Name:BIJA
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 1:46731 VINEYARD AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3941
Mailing Address - Country:US
Mailing Address - Phone:586-229-6480
Mailing Address - Fax:
Practice Address - Street 1:46731 VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-3941
Practice Address - Country:US
Practice Address - Phone:586-229-6480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901602152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist