Individual
DR. PETER POOTEP MANADEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
45720 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-6033
(586) 566-1600
Mailing address
45720 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-6033
(586) 566-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021387
MI
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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