Mendonca, Gustavo

Mendonca, Gustavo is an individual health care provider with primary practice located at 1011 N University Ave Rm 3165 , Ann Arbor MI 48109-1078. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Mendonca, Gustavo can be contacted via phone (734) 764-8597.

Contact Information

Primary practice address
1011 N University Ave Rm 3165 Ann Arbor MI 48109-1078
Phone: (734) 764-8597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 0108 North Carolina
Dental Providers / Dentist 122300000X 2952000449 Michigan

Profile Details

NPI number 1982902490
LBN Legal business name Mendonca, Gustavo
Credentials DDS, MS, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Mar 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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