Individual
ALECO E TUJIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 E MEDICAL CENTER DR, B1B204, ANN ARBOR, MI 48109-0018
(734) 936-3072
(734) 763-8100
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 936-3072
(734) 763-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901018634
MI
1223P0221X
Pediatric Dentistry
Primary
2901018634
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D186340
BCBS OF MI DENTAL
MI
Enumeration date
03/19/2007
Last updated
02/16/2012
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