Individual
RONALD F. KONOPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-3880
(313) 899-3550
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901010614
MI
1223G0001X
General Practice Dentistry
Primary
10614
MI
Other
Enumeration date
03/11/2007
Last updated
05/18/2022
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