Individual
DR. DOMINIC FRANK VERDERESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47 HARBOUR VIEW PT, LINWOOD, MI 48634-9479
(989) 697-3777
Mailing address
4713 M 61, STANDISH, MI 48658-9422
(989) 846-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12923
MI
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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