Provider Demographics
NPI:1356897060
Name:BOYO, ALERO (DDS)
Entity type:Individual
Prefix:
First Name:ALERO
Middle Name:
Last Name:BOYO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E MEDICAL CENTER DR
Mailing Address - Street 2:G1218 TOWSLEY CENTER
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5222
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5981 UNIVERSITY AVENUE
Practice Address - Street 2:DALHOUSIE UNIVERSITY, DEPT OF OMFS
Practice Address - City:HALIFAX
Practice Address - State:NOVA SCOTIA
Practice Address - Zip Code:B3H 4R2
Practice Address - Country:CA
Practice Address - Phone:902-494-6411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program