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Organization

CORNAL RIDGELL DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CORNAL RIDGELL DMD (GENERAL DENTIST)
(248) 423-9393
Entity
Organization

Contact information

Practice address
25296 EVERGREEN RD, SOUTHFIELD, MI 48075-1760
(248) 423-9393
Mailing address
25296 EVERGREEN RD, SOUTHFIELD, MI 48075-1760
(248) 423-9393

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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