Individual
GISELE DE FARIA NEIVA
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) 647-7556
(734) 936-1597
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 647-7556
(734) 936-1597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2952000320
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1443051
UNITED CONCORDIA
MI
01
—
1958163190
BCBS OF MI MED SURGICAL
MI
01
—
D181030
BCBS OF MI DENTAL
MI
Enumeration date
04/03/2007
Last updated
10/07/2021
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