Organization
PERIODONTIC AND DENTAL IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIVEDITA S KUMAR B.D.S., M.S. (PERIODONTIST)
(734) 975-1743
Entity
Organization
Contact information
Practice address
2755 CARPENTER RD, SUITE 2NE, ANN ARBOR, MI 48108-1186
(734) 975-1743
(734) 975-1754
Mailing address
2755 CARPENTER RD, SUITE 2NE, ANN ARBOR, MI 48108-1186
(734) 975-1743
(734) 975-1754
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
2901016548
MI
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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