Individual
CAROLE ANNE MURDOCH-KINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 E MEDICAL CENTER DR, B1B204, ANN ARBOR, MI 48109-0018
(734) 615-6948
(734) 936-5955
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 615-6948
(734) 936-5955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901016430
MI
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
2901016430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958163140
BCBS OF MI MED SURGICAL
MI
05
—
4246420
—
MI
05
—
4246439
—
MI
01
—
D164300
BCBS OF MI DENTAL
MI
Enumeration date
03/16/2007
Last updated
07/27/2009
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