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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