| Cornal Ridgell Dmd Pc | |
|
25296 Evergreen Rd Southfield MI 48075-1760 | |
| (248) 423-9393 | |
| Not Available |
| Full Name | Cornal Ridgell Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25296 Evergreen Rd, Southfield, Michigan |
| Authorized Official Name and Position | Cornal Ridgell (GENERAL DENTIST) |
| Authorized Official Contact | 2484239393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornal Ridgell Dmd Pc 25296 Evergreen Rd Southfield MI 48075-1760 Ph: (248) 423-9393 | Cornal Ridgell Dmd Pc 25296 Evergreen Rd Southfield MI 48075-1760 Ph: (248) 423-9393 |
| NPI Number | 1568244382 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568244382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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