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Organization

ARBOR AREA ENDODONTICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WESLEY ICHESCO D.D.S. (OWNER)
(734) 973-2727
Entity
Organization

Contact information

Practice address
2330 E STADIUM BLVD, SUITE #1, ANN ARBOR, MI 48104-4820
(734) 973-2727
Mailing address
2330 E STADIUM BLVD, SUITE #1, ANN ARBOR, MI 48104-4820
(734) 973-2727

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
800745
MI

Other

Enumeration date
04/11/2008
Last updated
04/11/2008
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