| NPI | 1528370434 |
|---|---|
| Doing Business As | DENTAL FACULTY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PETER J POLVERINI Dean School Of Dentistry 734-763-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MI 2901016970) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |