Individual
BENYAPHA SIRINIRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-9148
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-9148
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2951000788
MI
Other
Enumeration date
07/13/2022
Last updated
08/11/2022
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