Organization
WILLOW RIVER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ANN LATENDRESSE DDS (OWNER)
(906) 201-0852
Entity
Organization
Contact information
Practice address
625 E LIBERTY ST STE 202, ANN ARBOR, MI 48104-2013
(734) 668-6612
Mailing address
625 E LIBERTY ST STE 202, ANN ARBOR, MI 48104-2013
(734) 668-6612
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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