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Contact Information

ARBOR AREA ENDODONTICS PC
2330 E STADIUM BLVD
SUITE #1
ANN ARBOR, MI48104-4820
 Phone: 734-973-2727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ARBOR AREA ENDODONTICS PC

NPI # 1578736468
LBN Legal business name ARBOR AREA ENDODONTICS PC
Authorized official WESLEY ICHESCO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2008
Last updated 04/11/2008 - About 18 years ago
Identifiers
MI License # 800745
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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