Periodontic and Dental Implant Center

NPI #1760597066 in Ann Arbor, Michigan

Provider Information

NPI Number: 1760597066
Entity Type: Organization
Organization Name: Periodontic and Dental Implant Center
Primary Specialty: Respite Care
Enumeration Date: Aug 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2755 CARPENTER RD
Address 2: SUITE 2NE
City: Ann Arbor
State: Michigan
ZIP Code: 48108-1186
Phone: (734) 975-1743

Authorized Official

Name: NIVEDITA S KUMAR, B.D.S., M.S.
Title: PERIODONTIST
Phone: (734) 975-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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