Individual
PARESH SHRIMANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2613 PLYMOUTH RD, ANN ARBOR, MI 48105-2468
(734) 821-7676
(734) 821-7689
Mailing address
760 WEST EISENHOWER PARKWAY, SUITE 310, ANN ARBOR, MI 48103
(734) 996-9966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558463661
TYPE 2 NPI NUMBER
MI
01
—
200102645
TAX IDENTIFICATION NUMBER
MI
Enumeration date
03/29/2007
Last updated
08/03/2020
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