Individual
ONA ERDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1014 N CLINTON AVE, SAINT JOHNS, MI 48879-1092
(734) 812-2832
Mailing address
1014 N CLINTON AVE, SAINT JOHNS, MI 48879-1092
(734) 812-2832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022075
MI
Other
Enumeration date
11/21/2016
Last updated
07/25/2022
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