Individual
EDWARD ANTHONY VANESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5970 LILLEY ROAD, CANTON, MI 48187
(734) 981-5455
(734) 981-0370
Mailing address
5970 LILLEY ROAD, CANTON, MI 48187
(734) 981-5455
(734) 981-0370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018912
MI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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