Individual
PAVITRA WAIKASETKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 647-3803
(734) 936-1597
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 647-3803
(734) 936-1597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019923
MI
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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