Individual
EDDIE PANTZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, G1200 TOWSLEY CTR, RM 1211, ANN ARBOR, MI 48109-5222
(734) 936-5950
Mailing address
1500 E. MEDICAL CENTER DRIVE, G1200 TOWSLEY CTR, RM 1211, ANN ARBOR, MI 48109-5222
(734) 936-5950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901022023
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901022023
MI
Other
Enumeration date
07/07/2016
Last updated
05/11/2018
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