Individual
DR. PAVAN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2790 12 MILE RD, BERKLEY, MI 48072-1630
(248) 439-0088
(248) 439-2900
Mailing address
2790 12 MILE RD, BERKLEY, MI 48072-1630
(248) 439-0088
(248) 439-2900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021992
MI
Other
Enumeration date
06/25/2016
Last updated
07/20/2020
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