Moeller Zevallos, Sergio Mauricio

Moeller Zevallos, Sergio Mauricio is an sole proprietor health care provider with primary practice located at 2509 S State St , Ann Arbor MI 48104-6145. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Moeller Zevallos, Sergio Mauricio can be contacted via phone (734) 662-7874.

Contact Information

Primary practice address
2509 S State St Ann Arbor MI 48104-6145
Phone: (734) 662-7874
Fax: (734) 662-1518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901018235 Michigan
Dental Providers / General Practice 1223G0001X 2901018235 Michigan
Dental Providers / Prosthodontics 1223P0700X 2901018235 Michigan

Profile Details

NPI number 1790970663
LBN Legal business name Moeller Zevallos, Sergio Mauricio
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Dec 1st, 2016 - about 9 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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