Individual
BRANDO VENTIMIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38921 DEQUINDRE RD, TROY, MI 48083-6818
(248) 879-7755
Mailing address
22715 MARTIN RD APT 5, SAINT CLAIR SHORES, MI 48081-1347
(586) 224-3823
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902020373
MI
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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