Individual
THIAGO CARVALHO DE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1011 N UNIVERSITY AVE RM K1030, ANN ARBOR, MI 48109-1078
(734) 763-5280
Mailing address
1011 N UNIVERSITY AVE RM K1030, ANN ARBOR, MI 48109-1078
(734) 465-7089
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2952000845
MI
Other
Enumeration date
10/29/2024
Last updated
11/05/2024
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