Individual
CHRISTINA TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2613 GROSS RD APT 66, ANN ARBOR, MI 48108-1140
(717) 756-5991
Mailing address
2613 GROSS RD APT 66, ANN ARBOR, MI 48108-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602377
MI
Other
Enumeration date
01/30/2023
Last updated
03/17/2025
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