# ERICH A. DITTMAR, DDS, MSD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kensington Valley Endodontics, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881735066
- **Authorized official:** DR. ERICH ALEXANDER DITTMAR D.D.S. (PRESIDENT)
- **Authorized official phone:** (810) 225-9630

## Contact information

- **Practice address:** 10415 GRAND RIVER RD, SUITE 400, BRIGHTON, MI 48116-6533
- **Practice address phone:** (810) 225-9630
- **Mailing address:** 10415 E. GRAND RIVER RD, SUITE 400, BRIGHTON, MI 48116
- **Mailing address phone:** (810) 225-9630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 2901016477 | MI | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 07/08/2008