Individual
CORNAL RIDGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
25296 EVERGREEN RD, SOUTHFIELD, MI 48075-1760
(248) 423-9393
(248) 423-7893
Mailing address
21700 NORTHWESTERN HWY, SUITE 180, SOUTHFIELD, MI 48075-4906
(248) 423-9393
(248) 423-7893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015775
MI
Other
Enumeration date
10/25/2006
Last updated
10/10/2023
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