Individual
NILS JOHN KORSNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9416 S MAIN ST, SUITE 112, PLYMOUTH, MI 48170-4157
(734) 453-6840
(734) 453-0256
Mailing address
8140 BROOKVILLE RD, PLYMOUTH, MI 48170-5006
(734) 455-8173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901008687
MI
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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