| Kensington Valley Endodontics, Pc | |
|
10415 Grand River Rd Suite 400 Brighton MI 48116-6533 | |
| (810) 225-9630 | |
| Not Available |
| Full Name | Kensington Valley Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 10415 Grand River Rd, Brighton, Michigan |
| Authorized Official Name and Position | Erich Alexander Dittmar (PRESIDENT) |
| Authorized Official Contact | 8102259630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kensington Valley Endodontics, Pc 10415 E. Grand River Rd Suite 400 Brighton MI 48116 Ph: (810) 225-9630 | Kensington Valley Endodontics, Pc 10415 Grand River Rd Suite 400 Brighton MI 48116-6533 Ph: (810) 225-9630 |
| NPI Number | 1881735066 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881735066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2901016477 (Michigan) | Primary |
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› Verified 6 days ago
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