Individual
SIMON TOUCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RM B204, ANN ARBOR, MI 48109-5018
(734) 936-5950
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018730
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901018730
MI
390200000X
Student in an Organized Health Care Education/Training Program
2901018730
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301088665
MI
Other
Enumeration date
04/09/2007
Last updated
10/29/2009
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