Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES
Active
Other names
DENTAL FACULTY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J POLVERINI DDS MS (DEAN SCHOOL OF DENTISTRY)
(734) 763-3311
Entity
Organization
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-3311
(764) 763-5142
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-3311
(764) 763-5142
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901016970
MI
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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