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Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES
Active
Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES
Active
Other names
DENTAL FACULTY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J POLVERINI DDS MS (DEAN SCHOOL OF DENTISTRY)
(734) 763-3311
Entity
Organization
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-3311
(764) 763-5142
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-3311
(764) 763-5142
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901016970
MI
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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