Organization
C V VANNESTE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER VICTOR VANNESTE DDS (PRESIDENT)
(586) 465-4488
Entity
Organization
Contact information
Practice address
37211 HARPER AVE, SUITE 1A, CLINTON TOWNSHIP, MI 48036-3074
(586) 465-4488
(586) 465-7854
Mailing address
37211 HARPER AVE, SUITE 1A, CLINTON TOWNSHIP, MI 48036-3074
(586) 465-4488
(586) 465-7854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4040480
—
MI
Enumeration date
05/17/2007
Last updated
08/22/2020
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