# GISELE DE FARIA NEIVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518088749
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2952000320 | MI | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 10/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1443051 | UNITED CONCORDIA | MI |
| 01 | — | 1958163190 | BCBS OF MI MED SURGICAL | MI |
| 01 | — | D181030 | BCBS OF MI DENTAL | MI |