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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SERGIO MAURICIO MOELLER ZEVALLOS, DDS, MS

Active Sole Proprietor

DR. SERGIO MAURICIO MOELLER ZEVALLOS, DDS, MS is a Pediatric Dentistry healthcare provider located in ANN ARBOR, Michigan. NPI 1790970663 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · ANN ARBOR, MI

Registration Details

NPI Number
1790970663
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2007 (18.932281998887 yrs)
Last Updated
Dec 1, 2016
Licenses
2901018235 (MI)
2901018235 (MI)
2901018235 (MI)
Sole Proprietor
Yes

Practice Information

Address
2509 S STATE ST
ANN ARBOR, MI, 481046145
Browse MI providers · Browse ZIP 48104
Phone
7346627874
Fax
7346621518
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
General Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in ANN ARBOR, MI

Name Credential NPI
DR. KEVIN M SLOAN D.D.S., M.S. 1679577266
DR. THOMAS S MARSHALL DDS, MS 1952388514
DR. SUN-YUNG BAK D.D.S. 1255343075
ROBERT A BRUSTAD DDS MS 1861503328
DR. THOMAS BLOEM DDS, MS 1679628960
PAUL H KREBSBACH DDS PHD 1891819934
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.