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Dr. M.antonia Ausum
General Practice Dentistry in Milan, Michigan
NPI 1568518330

M.antonia Ausum is a General Practice Dentistry based in Milan, MI and is specialized in General Practice. M.antonia Ausum practices in Milan, MI. The NPI Number for M.antonia Ausum is 1568518330 and holds a License No. 13291 (Michigan).

The current practice location address for M.antonia Ausum is 519 W Main St, Milan, MI and can be reached out via phone at 734-439-1543 and via fax at 734-439-0553.

Location: 519 W Main St, Milan, MI, 48160-9559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568518330
Provider Name
M.antonia Ausum
Credential
Provider Entity Type
Individual
Gender
Female
Address
519 W Main St, Milan, MI, 48160-9559
Phone Number
734-439-1543
Fax Number
734-439-0553
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110788 01 MI AETNA-DMO
2602947 05 MI
institution
Provider Business Practice Location Address Details
Address
519 W Main St
City
Milan
State
Michigan
Zip
48160-9559
Phone Number
734-439-1543
Fax Number
734-439-0553
person
Provider Business Mailing Address Details
Address
519 W Main St
City
Milan
State
Michigan
Zip
48160-9559
Phone Number
734-439-1543
Fax Number
734-439-0553
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13291 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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institution
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519 W Main St,
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48160-9559
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