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Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN ORAL PATHOLOGY
Active
Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN ORAL PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KITRINA CORDELL DDS (LABORATORY DIRECTOR)
(734) 647-8091
Entity
Organization
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-1543
(734) 764-2469
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-1543
(734) 764-2469
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2901018465
MI
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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