Individual
DR. ANNELIES SOPHIA CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
830 W CLARK RD, YPSILANTI, MI 48198-3403
(734) 646-0419
Mailing address
2509 S STATE ST, ANN ARBOR, MI 48104-6145
(734) 662-7874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019834
MI
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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