Organization
ONA R ERDT, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONA R ERDT DMD, MSHS (OWNER DENTIST)
(734) 812-2832
Entity
Organization
Contact information
Practice address
1014 N CLINTON AVE, SAINT JOHNS, MI 48879-1092
(734) 812-2832
Mailing address
1014 N CLINTON AVE, SAINT JOHNS, MI 48879-1092
(734) 812-2832
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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