Individual
DR. ANDRES WILSON SETAPUTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16060 HOLZ DR UNIT 77, SOUTHGATE, MI 48195-2991
(734) 250-1473
Mailing address
16060 HOLZ DR UNIT 77, SOUTHGATE, MI 48195-2991
(734) 250-1473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021307
MI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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