Individual
DR. TAMIRES DUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS, PHD
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-2105
Mailing address
3042 SIGNATURE BLVD APT G, ANN ARBOR, MI 48103-6470
(734) 596-5885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2952000860
MI
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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