Individual
DR. BRIAN KEITH VAN NETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6705 PARK AVE, ALLEN PARK, MI 48101
(313) 382-4220
(313) 382-5871
Mailing address
6705 PARK AVE, ALLEN PARK, MI 48101
(313) 382-4220
(313) 382-5871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014775
MI
Other
Enumeration date
01/18/2006
Last updated
12/07/2015
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