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Organization

UNIVERSITY OF DETROIT MERCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY PARISE DDS (PROGRAM DIRECTOR AEGD)
(313) 494-6907
Entity
Organization

Contact information

Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 993-1000
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 993-1000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021308
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1
MI
Enumeration date
07/07/2014
Last updated
07/07/2014
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