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Individual

CHELSEA A KEPLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1500 E MEDICAL CENTER DR SPC 5831, ANN ARBOR, MI 48109-5000
(734) 936-5950
Mailing address
1500 E. MEDICAL CENTER DRIVE, MEDINN CLINIC, C213, SPC 5831, ANN ARBOR, MI 48109-5831

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022304
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300019447
IN
01
54670913
DENTPIN
IN
Enumeration date
06/13/2017
Last updated
10/29/2018
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