Individual
GUSTAVO AVILA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., PH.D
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-6933
Mailing address
1011 N UNIVERSITY AVE, DENT ROOM 3393, ANN ARBOR, MI 48109-1078
(734) 763-6933
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2952000392
MI
Other
Enumeration date
03/07/2011
Last updated
10/22/2025
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