PERIODONTIC AND DENTAL IMPLANT CENTER NPI 1760597066

NPI Information

PERIODONTIC AND DENTAL IMPLANT CENTER is a respite care in Ann Arbor, MI. PERIODONTIC AND DENTAL IMPLANT CENTER NPI is 1760597066. The provider is registered as an organization entity type.

The provider's business location address is:

2755 CARPENTER RD
SUITE 2NE
ANN ARBOR, MI
ZIP 48108-186
Phone: (734) 975-1743
Fax: (734) 975-1754

The provider's authorized official is Nivedita S Kumar .
The authorized official title is Periodontist and has the following contact phone number (734) 975-1743.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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