| NPI | 1386899805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J POLVERINI Dean, Univ Of Mi School Of Dentistr 734-764-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016040) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MI 2901016040) |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MI 2901016040) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901016040) | |
| 1223P0300X Dentist, Periodontics (Licence: MI 2901016040) | |
| 1223P0700X Dentist, Prosthodontics (Licence: MI 2901016040) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901016040) | |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: MI 2901016040) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901016040) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |